| Albert L. Soulema, Dds, A Professional Corporation | |
|
543 Country Club Dr Ste C Simi Valley CA 93065-7696 | |
| (818) 968-1491 | |
| Not Available |
| Full Name | Albert L. Soulema, Dds, A Professional Corporation |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 543 Country Club Dr Ste C, Simi Valley, California |
| Authorized Official Name and Position | Albert Soulema (CEO) |
| Authorized Official Contact | 8189681491 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Albert L. Soulema, Dds, A Professional Corporation 16632 Diamante Dr Encino CA 91436-4148 Ph: () - | Albert L. Soulema, Dds, A Professional Corporation 543 Country Club Dr Ste C Simi Valley CA 93065-7696 Ph: (818) 968-1491 |
| NPI Number | 1295421097 |
|---|---|
| Provider Enumeration Date | 04/13/2023 |
| Last Update Date | 04/13/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295421097 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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