Individual
DR. JEFFREY NAGEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S., M.S.
Contact information
Practice address
3695 ALAMO ST, STE. 301, SIMI VALLEY, CA 93063-2188
(805) 581-2480
Mailing address
3695 ALAMO ST, STE. 301, SIMI VALLEY, CA 93063-2188
(805) 581-2480
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
56842
CA
Other
Enumeration date
08/18/2009
Last updated
08/18/2009
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