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Individual

ANISH SARNA PURI

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DDS

Contact information

Practice address
140 N A ST, OXNARD, CA 93030-5315
(805) 483-9537
Mailing address
140 N A ST, OXNARD, CA 93030-5315
(805) 483-9537

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
108160
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
108160
CALIFORNIA DENTAL BOARD
CA
Enumeration date
10/12/2022
Last updated
10/12/2022
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