| George M. Correa, Dmd, Inc. | |
|
509 Marin St Ste 220 Thousand Oaks CA 91360-4230 | |
| (805) 374-8484 | |
| (805) 374-9819 |
| Full Name | George M. Correa, Dmd, Inc. |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 509 Marin St Ste 220, Thousand Oaks, California |
| Authorized Official Name and Position | George Correa (OWNER) |
| Authorized Official Contact | 8053748484 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| George M. Correa, Dmd, Inc. 509 Marin St Ste 220 Thousand Oaks CA 91360-4230 Ph: (805) 374-8484 | George M. Correa, Dmd, Inc. 509 Marin St Ste 220 Thousand Oaks CA 91360-4230 Ph: (805) 374-8484 |
| NPI Number | 1396086450 |
|---|---|
| Provider Enumeration Date | 03/13/2013 |
| Last Update Date | 03/13/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396086450 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 30542 (California) | Primary |
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