Provider Demographics
NPI:1275917007
Name:SAMI, TONI (DDS)
Entity Type:Individual
Prefix:DR
First Name:TONI
Middle Name:
Last Name:SAMI
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 1:2021 MONTROSE AVE STE D
Mailing Address - Street 2:
Mailing Address - City:MONTROSE
Mailing Address - State:CA
Mailing Address - Zip Code:91020-2132
Mailing Address - Country:US
Mailing Address - Phone:818-720-4558
Mailing Address - Fax:
Practice Address - Street 1:2021 MONTROSE AVE STE D
Practice Address - Street 2:
Practice Address - City:MONTROSE
Practice Address - State:CA
Practice Address - Zip Code:91020-2132
Practice Address - Country:US
Practice Address - Phone:818-720-4558
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-07-10
Last Update Date:2022-12-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA1040711223P0700X, 1223P0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0700XDental ProvidersDentistProsthodontics