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2486 Erringer Rd Simi Valley CA 93065-2351 | |
(805) 520-0100 | |
Not Available |
Full Name | |
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Speciality | Dentist - General Practice |
Location | 2486 Erringer Rd, Simi Valley, California |
Authorized Official Name and Position | Gholam-reza James Zarrinnegar (PRESIDENT) |
Authorized Official Contact | 3106969574 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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2486 Erringer Rd Simi Valley CA 93065-2351 Ph: (805) 520-0100 | 2486 Erringer Rd Simi Valley CA 93065-2351 Ph: (805) 520-0100 |
NPI Number | 1427369511 |
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Provider Enumeration Date | 06/23/2010 |
Last Update Date | 12/06/2012 |
Identifier | Type | State | Issuer |
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1427369511 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223G0001X | Dentist - General Practice | 53492 (California) | Primary |
1223G0001X | Dentist - General Practice | 56090 (California) | Secondary |
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