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 provides Dentist services 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 Not confirmed with CMS for 18 years — call before visiting
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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