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Organization
NEW AGE DENTAL
Active
Organization
NEW AGE DENTAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. EDMOND M. TASH DDS (OWNER)
(661) 799-1991
Entity
Organization
Contact information
Practice address
25937 THE OLD RD, STEVENSON RANCH, CA 91381-1714
(661) 799-1991
(661) 799-9238
Mailing address
25937 THE OLD RD, STEVENSON RANCH, CA 91381-1714
(661) 799-1991
(661) 799-9238
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Enumeration date
05/23/2007
Last updated
07/10/2008
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