Thousand Oaks Childrens Dental Group
NPI #1124140751 in Thousand Oaks, California
Provider Information
- NPI Number
- 1124140751
- Entity Type
- Organization
- Organization Name
- Thousand Oaks Childrens Dental Group
- Primary Specialty
- Dentist - Pediatric Dentistry
- Enumeration Date
- Apr 4, 2007
- Last Updated
- Feb 4, 2009
Practice Location
- Address
- 61 LONG CT
- Address 2
- SUITE 202
- City
- Thousand Oaks
- State
- California
- ZIP Code
- 91360
- Phone
- (805) 497-3797
Authorized Official
- Name
- MR. AHSAN S RAZA, D.D.S.
- Title
- OWNER/PARTNER
- Phone
- (805) 497-3797
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - Pediatric Dentistry — Pediatric Dentistry |
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