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Organization
J.Y. TOKUYAMA, D.D.S. AND L.E. HANSEN, D.D.S., A PROFESSIONAL CORPORAT
Active
Organization
J.Y. TOKUYAMA, D.D.S. AND L.E. HANSEN, D.D.S., A PROFESSIONAL CORPORAT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LISA E HANSEN DDS (OWNER)
(805) 527-3306
Entity
Organization
Contact information
Practice address
1987 ROYAL AVE, # 4, SIMI VALLEY, CA 93065-4655
(805) 527-3306
(805) 578-6529
Mailing address
1987 ROYAL AVE, # 4, SIMI VALLEY, CA 93065-4655
(805) 527-3306
(805) 578-6529
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
24506
CA
1223G0001X
General Practice Dentistry
36203
CA
1223G0001X
General Practice Dentistry
47371
CA
Other
Enumeration date
07/26/2005
Last updated
08/22/2020
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