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Organization
S TENGGREN DENTAL CORP
Active
Organization
S TENGGREN DENTAL CORP
Active
Other names
Simi Hills Dental
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ROY BAILEY (COO)
(805) 306-0200
Entity
Organization
Contact information
Practice address
2796 SYCAMORE DR, STE 200, SIMI VALLEY, CA 93065-1546
(805) 306-0200
(805) 306-0221
Mailing address
2796 SYCAMORE DR, STE 200, SIMI VALLEY, CA 93065-1546
(805) 306-0200
(805) 306-0221
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
11/06/2014
Last updated
11/06/2014
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