Organization
SANJAY DOSHI
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LIZ BASSIN (MANAGEMENT)
(818) 731-7484
Entity
Organization
Contact information
Practice address
3209 S BREA CANYON RD STE F, DIAMOND BAR, CA 91765-3482
(909) 945-3555
Mailing address
3209 S BREA CANYON RD STE F, DIAMOND BAR, CA 91765-3482
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
02/14/2020
Last updated
02/14/2020
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