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Organization
SEA BREEZE DENTAL CARE
Active
Organization
SEA BREEZE DENTAL CARE
Active
Parent organization
SEA BREEZE DENTAL
Organization subpart
Yes
Provider details
NPI number
Legal business name
SEA BREEZE DENTAL
Authorized official
BORIS ZAK DDS (OWNER)
(818) 991-9852
Entity
Organization
Contact information
Practice address
29525 CANWOOD ST., #250, AGOURA HILLS, CA 91301
(818) 991-9852
(818) 991-9899
Mailing address
29525 CANWOOD ST., #250, AGOURA HILLS, CA 91301
(818) 991-9852
(818) 991-9899
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
28838
CA
Other
Enumeration date
12/18/2008
Last updated
12/18/2008
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