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Organization
MISHRA DENTAL CORPORATION
Active
Organization
MISHRA DENTAL CORPORATION
Active
Other names
Sequoia Dentistry
Organization subpart
No
Provider details
NPI number
Authorized official
VIKRAM MISHRA DDS (OWNER / DENTIST)
(818) 709-1200
Entity
Organization
Contact information
Practice address
1960 SEQUOIA AVE STE 1, SIMI VALLEY, CA 93063-3176
(805) 584-3999
Mailing address
1960 SEQUOIA AVE STE 1, SIMI VALLEY, CA 93063-3176
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
02/23/2022
Last updated
02/23/2022
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