Organization
ALIREZAEI DENTAL CORPORATION
Active
Other names
Omni Dental Specialty Center
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KOUROSH KEIHANI DDS (OWNER)
(310) 562-2046
Entity
Organization
Contact information
Practice address
1690 E GONZALES RD, OXNARD, CA 93036-3700
(805) 919-0084
Mailing address
1690 E GONZALES RD, OXNARD, CA 93036-3700
(805) 919-0084
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
—
—
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
—
—
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
—
—
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
07/12/2019
Last updated
05/26/2020
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