| David Esmail Shirazi, Dds | |
|
558 Saint Charles Dr # 201 Thousand Oaks CA 91360-3903 | |
| (805) 496-5700 | |
| (805) 496-5719 |
| Full Name | David Esmail Shirazi, Dds |
|---|---|
| Speciality | Dentist |
| Location | 558 Saint Charles Dr # 201, Thousand Oaks, California |
| Authorized Official Name and Position | David Esmail Shirazi (DIRECTOR) |
| Authorized Official Contact | 8054965700 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| David Esmail Shirazi, Dds 558 Saint Charles Dr # 201 Thousand Oaks CA 91360-3903 Ph: (805) 496-5700 | David Esmail Shirazi, Dds 558 Saint Charles Dr # 201 Thousand Oaks CA 91360-3903 Ph: (805) 496-5700 |
| NPI Number | 1508045790 |
|---|---|
| Provider Enumeration Date | 10/24/2007 |
| Last Update Date | 07/15/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508045790 | NPI | - | NPPES |
| DDS48020 | Other | CA | DENTAL BOARD OF CA |
| AC11429 | Other | CA | ACUPUNCTURE BOARD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | DDS48020 (California) | Primary |
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