Individual
DR. DHANESH S KATBAMNA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
3390 DARBY ST, # 446, SIMI VALLEY, CA 93063-5353
(805) 579-9161
Mailing address
3390 DARBY ST, # 446, SIMI VALLEY, CA 93063-5353
(805) 579-9161
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
39972
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
B39972-01
—
CA
Enumeration date
12/04/2006
Last updated
06/05/2013
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