Provider Demographics
NPI:1437895901
Name:DR. YOUNES SAFA DENTAL OFFICE, INC.
Entity type:Organization
Organization Name:DR. YOUNES SAFA DENTAL OFFICE, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:LISA
Authorized Official - Middle Name:M
Authorized Official - Last Name:COHEN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:661-251-4800
Mailing Address - Street 1:27421 TOURNEY RD.
Mailing Address - Street 2:#100
Mailing Address - City:VALENCIA
Mailing Address - State:CA
Mailing Address - Zip Code:91355-5646
Mailing Address - Country:US
Mailing Address - Phone:661-251-4800
Mailing Address - Fax:661-251-4806
Practice Address - Street 1:27421 TOURNEY RD.
Practice Address - Street 2:#100
Practice Address - City:VALENCIA
Practice Address - State:CA
Practice Address - Zip Code:91355-5646
Practice Address - Country:US
Practice Address - Phone:661-251-4800
Practice Address - Fax:661-251-4806
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-05-09
Last Update Date:2022-05-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223E0200XDental ProvidersDentistEndodonticsGroup - Single Specialty