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BINA KOROURI SAGE DENTAL CORPORATION NPI 1396096228


NPI Information

NPI: 1396096228
Provider Name: BINA, KOROURI, SAGE DENTAL CORPORATION

Doing Business As: PLAYHOUSE DENTAL

Classification: Dentist - 1223G0001X
Entity Type: Organization

Specialization: General Practice

Address:
3737 MARTIN LUTHER KING JR BLVD
106
LYNWOOD, CA
ZIP 90262
Phone: (323) 266-5737
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BINA, KOROURI, SAGE DENTAL CORPORATION is a general practice dentist in Lynwood, CA. The provider is a general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. BINA, KOROURI, SAGE DENTAL CORPORATION NPI is 1396096228. The provider is registered as an organization entity type and is a multiple single specialty group.
The provider Is Doing Business As Playhouse Dental.

The provider's business location address is:

3737 MARTIN LUTHER KING JR BLVD
106
LYNWOOD, CA
ZIP 90262-513
Phone: (323) 266-5737

The provider's authorized official is Parham Sage .
The authorized official title is Vice President and has the following contact phone number (323) 269-5437.

The enumeration date for this NPI number is 10/2/2012 and was last updated on 1/22/2013.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
11223G0001XDentistGeneral Practice58132CALIFORNIANo
21223G0001XDentistGeneral Practice55323CALIFORNIANo
31223G0001XDentistGeneral Practice56649CALIFORNIAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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