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Individual

AMIRHOSSEIN BAHADOR

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
801 COOPER RD, OXNARD, CA 93030-5445
(805) 330-8100
(805) 240-7383
Mailing address
1040 FLYNN RD, CAMARILLO, CA 93012-5092
(805) 673-3930

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
019.035463
IL
1223G0001X
General Practice Dentistry
Primary
110932
CA

Other

Enumeration date
10/12/2024
Last updated
11/26/2024
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