Dmitry Aminov Dental Corp | |
2780 Tapo Canyon Rd Suite A-1b Simi Valley CA 93063-6840 | |
(805) 520-1711 | |
(805) 520-1511 |
Full Name | Dmitry Aminov Dental Corp |
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Speciality | Dentist - General Practice |
Location | 2780 Tapo Canyon Rd, Simi Valley, California |
Authorized Official Name and Position | Dmitry G Aminov (DENTIST) |
Authorized Official Contact | 8055201711 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Dmitry Aminov Dental Corp 2780 Tapo Canyon Rd Suite A-1b Simi Valley CA 93063-6840 Ph: (805) 520-1711 | Dmitry Aminov Dental Corp 2780 Tapo Canyon Rd Suite A-1b Simi Valley CA 93063-6840 Ph: (805) 520-1711 |
NPI Number | 1093103954 |
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Provider Enumeration Date | 12/30/2014 |
Last Update Date | 03/07/2019 |
Identifier | Type | State | Issuer |
---|---|---|---|
1093103954 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223G0001X | Dentist - General Practice | 55889 (California) | Primary |
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