| Thousand Oaks Childrens Dental Group | |
|
61 Long Ct Suite 202 Thousand Oaks CA 91360 | |
| (805) 497-3797 | |
| (805) 371-1121 |
| Full Name | Thousand Oaks Childrens Dental Group |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 61 Long Ct, Thousand Oaks, California |
| Authorized Official Name and Position | Ahsan S Raza (OWNER/PARTNER) |
| Authorized Official Contact | 8054973797 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Thousand Oaks Childrens Dental Group 61 Long Ct Suite 202 Thousand Oaks CA 91360 Ph: (805) 497-3797 | Thousand Oaks Childrens Dental Group 61 Long Ct Suite 202 Thousand Oaks CA 91360 Ph: (805) 497-3797 |
| NPI Number | 1124140751 |
|---|---|
| Provider Enumeration Date | 04/04/2007 |
| Last Update Date | 02/04/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124140751 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | 036029 (California) | Primary |
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