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Organization
GEORGE M. CORREA, DMD, INC.
Active
Organization
GEORGE M. CORREA, DMD, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GEORGE CORREA D.M.D. (OWNER)
(805) 374-8484
Entity
Organization
Contact information
Practice address
509 MARIN ST STE 220, THOUSAND OAKS, CA 91360-4230
(805) 374-8484
(805) 374-9819
Mailing address
509 MARIN ST STE 220, THOUSAND OAKS, CA 91360-4230
(805) 374-8484
(805) 374-9819
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
30542
CA
Other
Enumeration date
03/13/2013
Last updated
03/13/2013
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