Organization
PLEASANT VALLEY FAMILYDENTAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. REZA KARIMI DDS (DENTIST/OWNER)
(805) 483-0421
Entity
Organization
Contact information
Practice address
4938 S C ST, OXNARD, CA 93033-7504
(805) 483-0421
Mailing address
4938 S C ST, OXNARD, CA 93033-7504
(805) 483-0421
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
35918
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1538207907
NPI
CA
01
—
D35918
RENDERING PROVIDER
CA
05
—
G9062602
—
CA
Enumeration date
05/14/2014
Last updated
05/14/2014
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