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Organization
OKHOVAT PROFESSIONAL DENTAL
Active
Organization
OKHOVAT PROFESSIONAL DENTAL
Active
Other names
Roseville Top Smiles
Organization subpart
No
Provider details
NPI number
Authorized official
SIAMAK OKHOVAT DDS, PHD (OWNER)
(916) 783-5600
Entity
Organization
Contact information
Practice address
2110 PROFESSIONAL DR STE 115, ROSEVILLE, CA 95661-3778
(916) 783-5600
(916) 783-5614
Mailing address
2110 PROFESSIONAL DR STE 115, ROSEVILLE, CA 95661-3778
(916) 783-5600
(916) 783-5614
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
CA
Other
Enumeration date
01/10/2013
Last updated
03/04/2013
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