Provider Demographics
NPI:1336446483
Name:SEAN HAKIMI DDS A PROFESSIONAL CORPORATION
Entity Type:Organization
Organization Name:SEAN HAKIMI DDS A PROFESSIONAL CORPORATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:SOHAIL
Authorized Official - Middle Name:SEAN
Authorized Official - Last Name:HAKIMI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:661-255-3130
Mailing Address - Street 1:25864 TOURNAMENT RD STE F
Mailing Address - Street 2:
Mailing Address - City:VALENCIA
Mailing Address - State:CA
Mailing Address - Zip Code:91355-2369
Mailing Address - Country:US
Mailing Address - Phone:661-255-3130
Mailing Address - Fax:
Practice Address - Street 1:25864 TOURNAMENT RD STE F
Practice Address - Street 2:
Practice Address - City:VALENCIA
Practice Address - State:CA
Practice Address - Zip Code:91355-2369
Practice Address - Country:US
Practice Address - Phone:661-255-3130
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-02-24
Last Update Date:2011-02-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Multi-Specialty