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Organization
LAURA FATHI DDS
Active
Organization
LAURA FATHI DDS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHEILA LAURA FATHI DR. (DENTIST)
(805) 496-6177
Entity
Organization
Contact information
Practice address
375 ROLLING OAKS DR STE 120, THOUSAND OAKS, CA 91361-1025
(805) 496-6177
(805) 496-6887
Mailing address
375 ROLLING OAKS DR STE 120, THOUSAND OAKS, CA 91361-1025
(805) 496-6177
(805) 496-6887
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
46336
CA
Other
Enumeration date
03/10/2015
Last updated
03/10/2015
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