Organization
RALPH J MAIELLO DDS INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RALPH J MAIELLO D.D.S (OWENER)
(805) 584-2228
Entity
Organization
Contact information
Practice address
495 E LOS ANGELES AVE, SIMI VALLEY, CA 93065-7706
(805) 584-2228
(805) 584-0621
Mailing address
495 E LOS ANGELES AVE, SIMI VALLEY, CA 93065-7706
(805) 584-2228
(805) 584-0621
Taxonomy
Speciality
Code
Description
License number
State
305S00000X
Point of Service
Primary
033335
CA
Other
Enumeration date
09/20/2007
Last updated
09/20/2007
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