SAINT MINA FAMILY DENTAL
NPI 1639417306
Clinic/Center - Dental in Sylmar, CA

Active since January 30, 2013
12601 SAN FERNANDO RD STE H, SYLMAR, CA 91342(818) 364-1991 Get Directions Write a Review

NPPES record last updated: January 30, 2013. Verified against the NPPES registry weekly; last sync: July 19, 2026.

  • Organization
  • Clinic/Center
  • Dental

About SAINT MINA FAMILY DENTAL

This page provides the complete NPI Profile along with additional information for Saint Mina Family Dental, a provider established in Sylmar, California operating as a Clinic/center, focusing in dental . The healthcare provider is registered in the NPI registry with number 1639417306 assigned on January 2013. The practitioner's primary taxonomy code is 261QD0000X with license number 49677 (CA). The provider is registered as an organization and their NPI record was last updated 13 years ago. The provider's is doing business as Saint Mina Family Dental. The authorized official of this NPI record is Fawzy Tadros Dds (Owner)

NPI
1639417306 Verify this NPI
Provider Legal Name
FAWZY TADROS DDS.INC
Other Organization Name
SAINT MINA FAMILY DENTAL
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
12601 SAN FERNANDO RD STE H SYLMAR, CA 91342
Location Phone
(818) 364-1991
Mailing Address
12601 SAN FERNANDO RD STE H SYLMAR, CA 91342
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
01-30-2013
Last Update Date
01-30-2013
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Clinic/Center Dental

Taxonomy Code
261QD0000X
Type
Ambulatory Health Care Facilities
License No.
49677
License State
CA

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

FAWZY TADROS DDS

Authorized Official Title
OWNER
Authorized Official Phone
(818) 364-1991

Reviews for SAINT MINA FAMILY DENTAL

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Other Providers at the Same Location


The following 1 provider is registered at the same or a nearby location.

Dentist (General Practice)
12601 SAN FERNANDO RD STE H
SYLMAR, CA 91342

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1639417306, enumerated as an "organization" on January 30, 2013.

The provider is located at 12601 SAN FERNANDO RD STE H SYLMAR, CA 91342 and the phone number is (818) 364-1991.

Clinic/Center with taxonomy code 261QD0000X and a focus in Dental.