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Organization
VISTA VILLAGE DENTAL
Active
Organization
VISTA VILLAGE DENTAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SEAN SOHAIL HAKIMI D.D.S. (OWNER)
(661) 255-3130
Entity
Organization
Contact information
Practice address
24355 LYONS AVE, STE 212, SANTA CLARITA, CA 91321-2300
(661) 259-5001
(661) 259-5454
Mailing address
PO BOX 55368, VALENCIA, CA 91385-0368
(661) 255-3130
(661) 451-5248
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
39643
CA
Other
Enumeration date
08/05/2007
Last updated
12/26/2012
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