| Skyline Dental | |
|
2875 E Thousand Oaks Blvd Thousand Oaks CA 91362-3202 | |
| (805) 496-2200 | |
| (805) 496-2225 |
| Full Name | Skyline Dental |
|---|---|
| Speciality | Dentist |
| Location | 2875 E Thousand Oaks Blvd, Thousand Oaks, California |
| Authorized Official Name and Position | Kambiz Mahdavi (PRESIDENT) |
| Authorized Official Contact | 8054962200 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Skyline Dental 2875 E Thousand Oaks Blvd Thousand Oaks CA 91362-3202 Ph: (805) 496-2200 | Skyline Dental 2875 E Thousand Oaks Blvd Thousand Oaks CA 91362-3202 Ph: (805) 496-2200 |
| NPI Number | 1124248091 |
|---|---|
| Provider Enumeration Date | 04/26/2007 |
| Last Update Date | 12/04/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124248091 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 52639 (California) | Primary |
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