Kambiz Mahdavi, Dds, a Professional Dental Corporation
NPI #1124248091 in Thousand Oaks, California
Provider Information
- NPI Number
- 1124248091
- Entity Type
- Organization
- Organization Name
- Kambiz Mahdavi, Dds, a Professional Dental Corporation
- Primary Specialty
- Dentist
- Enumeration Date
- Apr 26, 2007
- Last Updated
- Dec 4, 2012
Practice Location
- Address
- 2875 E THOUSAND OAKS BLVD
- City
- Thousand Oaks
- State
- California
- ZIP Code
- 91362-3202
- Phone
- (805) 496-2200
Authorized Official
- Name
- DR. KAMBIZ MAHDAVI, DDS
- Title
- PRESIDENT
- Phone
- (805) 496-2200
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist |
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