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Organization

101 DENTAL GROUP

Active
Organization subpart
No

Provider details

NPI number
Authorized official
AMIR H CHOROOMI (DENTIST)
(818) 735-3800
Entity
Organization

Contact information

Practice address
7259 OWENSMOUTH AVE, CANOGA PARK, CA 91303-1530
(818) 999-9900
(818) 999-9978
Mailing address
7259 OWENSMOUTH AVE, CANOGA PARK, CA 91303-1530
(818) 999-9900
(818) 999-9978

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
54634
CA

Other

Enumeration date
11/27/2013
Last updated
11/27/2013
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