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Organization
MATEI T TOCUSEANU DDS, INC
Active
Organization
MATEI T TOCUSEANU DDS, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MATT T TOCUSEANU DDS (DENTIST/OWNER)
(805) 583-2299
Entity
Organization
Contact information
Practice address
5732 E LOS ANGELES AVE, SIMI VALLEY, CA 93063-5222
(805) 583-2299
(805) 583-0095
Mailing address
5732 E LOS ANGELES AVE, SIMI VALLEY, CA 93063-5222
(805) 583-2299
(805) 583-0095
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
56762
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1154599108
INDIVIDUAL NPI
CA
Enumeration date
03/23/2015
Last updated
03/23/2015
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