Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Kelishadi Samani Dental Corp

Organization Dentist · NPI 1508069576

Kelishadi Samani Dental Corp is a Dentist in Carson, California. Licensed in California. Registered with an NPI since 2007.

Licensed in
CA
In the registry since
2007
What do these letters mean?
Corp — Corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

23541 Avalon Blvd
Carson, CA 90745
Phone: (310) 830-3500
Fax: (310) 830-7994
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence 41930 (CA)

Record details

NPI number1508069576
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Marjan Kelishadi — Dentist · (310) 830-3500
NPI enumeratedJune 7, 2007
Last updated in NPPESJuly 3, 2008
Mailing address23541 Avalon Blvd, Carson, CA 90745

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