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Organization
LADAN NADDAFI DDS INC
Active
Organization
LADAN NADDAFI DDS INC
Active
Other names
Conejo Smile Dental Group
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LADAN NADDAFI DDS (PRESIDENT OWNER)
(805) 557-0909
Entity
Organization
Contact information
Practice address
1736 N MOORPARK RD, SUITE H, THOUSAND OAKS, CA 91360
(805) 557-0909
(805) 557-0908
Mailing address
498 VIA COLINAS, WESTLAKE VILLAGE, CA 91362
(805) 370-8043
(805) 370-3299
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
48340
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
48340
CA DENTAL BOARD
CA
01
—
G9307601
DENTI-CAL
CA
Enumeration date
04/06/2006
Last updated
08/07/2014
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