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55 W Los Angeles Ave Moorpark CA 93021-1820 | |
| (805) 523-3216 | |
| (805) 523-9630 |
| Full Name | |
|---|---|
| Speciality | Dentist |
| Location | 55 W Los Angeles Ave, Moorpark, California |
| Authorized Official Name and Position | Manohara Welikala (OWNER) |
| Authorized Official Contact | 8055233216 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
55 W Los Angeles Ave Moorpark CA 93021-1820 Ph: (805) 523-3216 | 55 W Los Angeles Ave Moorpark CA 93021-1820 Ph: (805) 523-3216 |
| NPI Number | 1679604227 |
|---|---|
| Provider Enumeration Date | 03/07/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679604227 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 49243 (California) | Primary |
Ely Hasany Dds,inc. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 217 W Los Angeles Ave, Moorpark, CA 93021 Phone: 805-529-0100 Fax: 805-529-0102 | |
Jll Dental Inc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 217 W Los Angeles Ave, Moorpark, CA 93021 Phone: 805-529-0100 Fax: 805-529-0102 | |
Brian R Forcey Dds Apc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 14711 Princeton Ave, #2, Moorpark, CA 93021 Phone: 805-529-4821 Fax: 805-529-1359 | |