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Organization
GHAVIBONIHE DENTAL INC
Active
Organization
GHAVIBONIHE DENTAL INC
Active
Other names
Easy Dental Group
Organization subpart
No
Provider details
NPI number
Authorized official
ALI GHAVIBONIHE DDS (DDS)
(805) 485-8587
Entity
Organization
Contact information
Practice address
2660 E VINEYARD AVE, OXNARD, CA 93036-1615
(805) 485-8587
Mailing address
2660 E VINEYARD AVE, OXNARD, CA 93036-1615
(805) 485-8587
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
49754
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1376764001
DDS
CA
Enumeration date
07/20/2016
Last updated
03/14/2017
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