Organization
SIMMONS DENTAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL S SIMMONS DMD (OWNER)
(818) 300-0070
Entity
Organization
Contact information
Practice address
18386 VENTURA BLVD, TARZANA, CA 91356-4219
(818) 300-0070
(818) 300-0060
Mailing address
18386 VENTURA BLVD, TARZANA, CA 91356-4219
Taxonomy
Speciality
Code
Description
License number
State
332BC3200X
Customized Equipment (DME)
Primary
—
—
Other
Enumeration date
07/30/2014
Last updated
07/30/2014
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