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Organization
ROSHANAEI DENTAL CORPORATION
Active
Organization
ROSHANAEI DENTAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MOHSEN ROSHANAEI D.D.S. (PRESIDENT)
(661) 252-3533
Entity
Organization
Contact information
Practice address
27552 SIERRA HWY, CANYON COUNTRY, CA 91351-3088
(661) 252-3533
Mailing address
27552 SIERRA HWY, CANYON COUNTRY, CA 91351-3088
(661) 252-3533
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
54196
CA
Other
Enumeration date
06/27/2012
Last updated
08/26/2015
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