| Roshanaei Dental Corporation | |
|
27552 Sierra Hwy Canyon Country CA 91351-3088 | |
| (661) 252-3533 | |
| Not Available |
| Full Name | Roshanaei Dental Corporation |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 27552 Sierra Hwy, Canyon Country, California |
| Authorized Official Name and Position | Mohsen Roshanaei (PRESIDENT) |
| Authorized Official Contact | 6612523533 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Roshanaei Dental Corporation 27552 Sierra Hwy Canyon Country CA 91351-3088 Ph: (661) 252-3533 | Roshanaei Dental Corporation 27552 Sierra Hwy Canyon Country CA 91351-3088 Ph: (661) 252-3533 |
| NPI Number | 1124382817 |
|---|---|
| Provider Enumeration Date | 06/27/2012 |
| Last Update Date | 08/26/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124382817 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 54196 (California) | Primary |
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