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Organization
NEGAR KOHANDARVISH DDS,INC.
Active
Organization
NEGAR KOHANDARVISH DDS,INC.
Active
Other names
PALM DENTAL CARE
Organization subpart
No
Provider details
NPI number
Authorized official
DR. NEGAR KOHANDARVISH DDS (OWNER)
(805) 388-1048
Entity
Organization
Contact information
Practice address
2177 VENTURA BLVD, CAMARILLO, CA 93010-7934
(805) 388-1048
(805) 388-1698
Mailing address
2177 VENTURA BLVD, CAMARILLO, CA 93010-7934
(805) 388-1048
(805) 388-1698
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
035346
CA
Other
Enumeration date
02/21/2014
Last updated
02/21/2014
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