Organization
TAHERI DENTAL PRACTICE, PC
Active
Other names
Agoura Smile Dental
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DANIELE CAPONE (COO)
(818) 991-6718
Entity
Organization
Contact information
Practice address
30313 CANWOOD ST STE 36, AGOURA HILLS, CA 91301-2094
(818) 991-6718
Mailing address
30313 CANWOOD ST STE 36, AGOURA HILLS, CA 91301-2094
(818) 991-6718
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
01/04/2023
Last updated
01/04/2023
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