Thousand Oaks Childrens Dental Group
Dentist, Pediatric Dentistry in Thousand Oaks, CA. Organization (NPI-2).
NPI number1124140751
StatusActive
Last updated in NPPESFeb 4, 2009
Details
- NPI
- 1124140751
- Entity type
- Organization (NPI-2)
- Legal business name
- Thousand Oaks Childrens Dental Group
- Organization subpart
- No
- Enumeration date
- Apr 4, 2007
- Last updated
- Feb 4, 2009
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1223P0221X | Dentist, Pediatric Dentistry | 036029 | CA | Yes |
Practice location
61 Long CtSuite 202
Thousand Oaks, CA 91360
Phone 805-497-3797 · Fax 805-371-1121
Mailing address
61 Long CtSuite 202
Thousand Oaks, CA 91360
Phone 805-497-3797 · Fax 805-371-1121
Authorized official
Ahsan S Raza
Owner/Partner
8054973797
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Other Pediatric Dentistry providers in Thousand Oaks, CA
- Anna Chamberlain DDS INCNPI 1760347652
- Eunha Cho, D.D.S.NPI 1982750840
- Arin Haghverdian, DMDNPI 1750910238
- Ahsan Syed Raza, D.D.S.NPI 1699897512
All 5 Pediatric Dentistry providers in Thousand Oaks · All 3,401 providers in Thousand Oaks
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