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Organization
TAHERI DENTAL PRACTICE, PC
Active
Organization
TAHERI DENTAL PRACTICE, PC
Active
Other names
Agoura Smile Dental
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DANIELE CAPONE (COO)
(818) 991-6718
Entity
Organization
Contact information
Practice address
30313 CANWOOD ST STE 36, AGOURA HILLS, CA 91301-2094
(818) 991-6718
Mailing address
30313 CANWOOD ST STE 36, AGOURA HILLS, CA 91301-2094
(818) 991-6718
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
01/04/2023
Last updated
01/04/2023
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