Provider Demographics
NPI:1255486676
Name:SAMET, DANA (DDS)
Entity type:Individual
Prefix:
First Name:DANA
Middle Name:
Last Name:SAMET
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6878 EDDINGHILL DR
Mailing Address - Street 2:
Mailing Address - City:RANCHO PALOS VERDES
Mailing Address - State:CA
Mailing Address - Zip Code:90275-3169
Mailing Address - Country:US
Mailing Address - Phone:310-377-2758
Mailing Address - Fax:
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:90505-5038
Practice Address - Country:US
Practice Address - Phone:310-257-1111
Practice Address - Fax:310-257-9270
Is Sole Proprietor?:No
Enumeration Date:2007-01-24
Last Update Date:2018-11-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA496601223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice