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Dr. Sam S Khorsandi, DDS
Periodontist in Encino, California
NPI 1629109996

Sam S Khorsandi is a Periodontist based in Encino, CA and is specialized in Periodontics. Sam S Khorsandi practices in Encino, CA and has the professional credentials of DDS. The NPI Number for Sam S Khorsandi is 1629109996 and holds a License No. 36257 (California).

The current practice location address for Sam S Khorsandi is 16542 Ventura Blvd, Encino, CA and can be reached out via phone at 818-981-4867.

Location: 16542 Ventura Blvd, Encino, CA, 91436-2005
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1629109996
Provider Name
Sam S Khorsandi
Credential
DDS
Provider Entity Type
Individual
Gender
Male
Address
16542 Ventura Blvd, Encino, CA, 91436-2005
Phone Number
818-981-4867
Fax Number
Provider Enumeration Date
03/08/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
B3625701 05 CA
institution
Provider Business Practice Location Address Details
Address
16542 Ventura Blvd
City
Encino
State
California
Zip
91436-2005
Phone Number
818-981-4867
Fax Number
person
Provider Business Mailing Address Details
Address
16542 Ventura Blvd
City
Encino
State
California
Zip
91436-2005
Phone Number
818-981-4867
Fax Number
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Periodontics
Taxonomy
1223P0300X
License No.
36257 (California)
Definition
That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues.
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