| Sea Breeze Dental Care | |
|
29525 Canwood St. #250 Agoura Hills CA 91301 | |
| (818) 991-9852 | |
| (818) 991-9899 |
| Full Name | Sea Breeze Dental Care |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 29525 Canwood St., Agoura Hills, California |
| Authorized Official Name and Position | Boris Zak (OWNER) |
| Authorized Official Contact | 8189919852 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Sea Breeze Dental Care 29525 Canwood St. #250 Agoura Hills CA 91301 Ph: (818) 991-9852 | Sea Breeze Dental Care 29525 Canwood St. #250 Agoura Hills CA 91301 Ph: (818) 991-9852 |
| NPI Number | 1356587521 |
|---|---|
| Provider Enumeration Date | 12/18/2008 |
| Last Update Date | 12/18/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356587521 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 28838 (California) | Primary |
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