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901 Sunvalley Blvd Ste 201 Concord CA 94520-5820 | |
(925) 680-4500 | |
Not Available |
Full Name | |
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Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
Location | 901 Sunvalley Blvd Ste 201, Concord, California |
Authorized Official Name and Position | Maurice David Simanian (ORTHODONTIST / PRESIDENT) |
Authorized Official Contact | 3103630369 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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153 Roslyn Dr Concord CA 94518-1214 Ph: (310) 363-0369 | 901 Sunvalley Blvd Ste 201 Concord CA 94520-5820 Ph: (925) 680-4500 |
NPI Number | 1578074472 |
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Provider Enumeration Date | 10/18/2017 |
Last Update Date | 10/18/2017 |
Identifier | Type | State | Issuer |
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1578074472 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | 61015 (California) | Primary |
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