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Organization
RODRICK GHADIMI DMD INC
Active
Organization
RODRICK GHADIMI DMD INC
Active
Other names
Dental Smile Studio
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RODRICK GHADIMI DMD (PRESIDENT)
(805) 532-1101
Entity
Organization
Contact information
Practice address
484 E LOS ANGELES AVE, 210, MOORPARK, CA 93021-1900
(805) 532-1101
(805) 532-1834
Mailing address
484 E LOS ANGELES AVE, 210, MOORPARK, CA 93021-1900
(805) 532-1101
(805) 532-1834
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
52575
CA
122300000X
Dentist
Primary
52606
CA
Other
Enumeration date
11/14/2011
Last updated
04/22/2019
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