Organization
A&Y SOLEIMANI, DDS, INC
Active
Other names
Elite Dentistry Of Simi Valley
Organization subpart
No
Provider details
NPI number
Authorized official
JOHANNA P HANSEN (OFFICE MANAGER)
(805) 526-1000
Entity
Organization
Contact information
Practice address
2941 COCHRAN ST STE 8, SIMI VALLEY, CA 93065-2789
(805) 526-1000
Mailing address
2941 COCHRAN STREET, SIMI VALLEY, CA 93065
(805) 526-1000
Taxonomy
Speciality
Code
Description
License number
State
302R00000X
Health Maintenance Organization
Primary
62127
CA
Other
Enumeration date
03/29/2017
Last updated
03/29/2017
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