Provider Demographics
NPI:1336287671
Name:DANA SAMET DDS INC
Entity Type:Organization
Organization Name:DANA SAMET DDS INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:DANA
Authorized Official - Middle Name:
Authorized Official - Last Name:SAMET
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:310-257-1111
Mailing Address - Street 1:3500 LOMITA BLVD STE 204
Mailing Address - Street 2:
Mailing Address - City:TORRANCE
Mailing Address - State:CA
Mailing Address - Zip Code:90505-5019
Mailing Address - Country:US
Mailing Address - Phone:310-257-1111
Mailing Address - Fax:310-257-9270
Practice Address - Street 1:3500 LOMITA BLVD STE 204
Practice Address - Street 2:
Practice Address - City:TORRANCE
Practice Address - State:CA
Practice Address - Zip Code:90505-5019
Practice Address - Country:US
Practice Address - Phone:310-257-1111
Practice Address - Fax:310-257-9270
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-01
Last Update Date:2019-01-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA496601223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty