Provider Demographics
NPI:1225240823
Name:SINAI, ABOLGHASEM (DDS)
Entity Type:Individual
Prefix:DR
First Name:ABOLGHASEM
Middle Name:
Last Name:SINAI
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7257 VASSAR AVE STE 203
Mailing Address - Street 2:
Mailing Address - City:CANOGA PARK
Mailing Address - State:CA
Mailing Address - Zip Code:91303-4409
Mailing Address - Country:US
Mailing Address - Phone:818-251-9794
Mailing Address - Fax:818-251-9774
Practice Address - Street 1:7257 VASSAR AVE STE 203
Practice Address - Street 2:
Practice Address - City:CANOGA PARK
Practice Address - State:CA
Practice Address - Zip Code:91303-4409
Practice Address - Country:US
Practice Address - Phone:818-251-9794
Practice Address - Fax:818-251-9774
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-04
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAB4337971223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice