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144 W Los Angeles Ave Moorpark CA 93021-1898 | |
| (805) 553-1980 | |
| (805) 553-1981 |
| Full Name | |
|---|---|
| Speciality | Dentist |
| Location | 144 W Los Angeles Ave, Moorpark, California |
| Authorized Official Name and Position | Paul K. Takemoto (PRESIDENT) |
| Authorized Official Contact | 8055531980 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
144 W Los Angeles Ave Moorpark CA 93021-1898 Ph: (805) 553-1980 | 144 W Los Angeles Ave Moorpark CA 93021-1898 Ph: (805) 553-1980 |
| NPI Number | 1104193473 |
|---|---|
| Provider Enumeration Date | 11/30/2011 |
| Last Update Date | 11/30/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104193473 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 35455 (California) | Primary |
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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 | |