| Simi Childrens Dental Group | |
|
1755 Erringer Rd Suite 20 Simi Valley CA 93065-6507 | |
| (805) 522-2164 | |
| (805) 522-9849 |
| Full Name | Simi Childrens Dental Group |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 1755 Erringer Rd, Simi Valley, California |
| Authorized Official Name and Position | Nina Mandelman (PARTNER) |
| Authorized Official Contact | 8055222164 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Simi Childrens Dental Group 1755 Erringer Rd Suite 20 Simi Valley CA 93065-6507 Ph: (805) 522-2164 | Simi Childrens Dental Group 1755 Erringer Rd Suite 20 Simi Valley CA 93065-6507 Ph: (805) 522-2164 |
| NPI Number | 1912020595 |
|---|---|
| Provider Enumeration Date | 04/09/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1912020595 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | D 44936 (California) | Primary |
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