Individual
DR. IRA R SIMON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1730 NOVATO BLVD, SUITE G, NOVATO, CA 94947-3048
(415) 897-7770
Mailing address
1730 NOVATO BLVD STE G, NOVATO, CA 94947-3048
(415) 897-7770
(415) 897-7704
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
240396
CA
Other
Enumeration date
11/17/2006
Last updated
07/08/2007
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