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Organization
NEW AGE FAMILY DENTAL
Active
Organization
NEW AGE FAMILY DENTAL
Active
Other names
New Age Family Dental
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SHAHRAM HOSSEINI DENTIST, DDS (OWNER)
(805) 520-6490
Entity
Organization
Contact information
Practice address
1350 E LOS ANGELES AVE, SUITE #202, SIMI VALLEY, CA 93065-2898
(805) 520-6490
(805) 520-9493
Mailing address
1350 E LOS ANGELES AVE, SUITE #202, SIMI VALLEY, CA 93065-2898
(805) 520-6490
(805) 520-9493
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Enumeration date
12/10/2010
Last updated
12/10/2010
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