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Organization
KAMBIZ MAHDAVI, DDS, A PROFESSIONAL DENTAL CORPORATION
Active
Organization
KAMBIZ MAHDAVI, DDS, A PROFESSIONAL DENTAL CORPORATION
Active
Other names
Skyline Dental
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KAMBIZ MAHDAVI DDS (PRESIDENT)
(805) 496-2200
Entity
Organization
Contact information
Practice address
2875 E THOUSAND OAKS BLVD, THOUSAND OAKS, CA 91362-3202
(805) 496-2200
(805) 496-2225
Mailing address
2875 E THOUSAND OAKS BLVD, THOUSAND OAKS, CA 91362-3202
(805) 496-2200
(805) 496-2225
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
52639
CA
Other
Enumeration date
04/26/2007
Last updated
12/04/2012
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