Simi Royal Dental Center

NPI #1558657528 in Simi Valley, California

Provider Information

NPI Number: 1558657528
Entity Type: Organization
Organization Name: Simi Royal Dental Center
Subpart: Yes (part of a larger organization)
Parent Organization: SIMI ROYAL DENTAL CENTER
Primary Specialty: Dentist
Enumeration Date: Jun 28, 2011
Last Updated: Jun 28, 2011

Practice Location

Address: 1987 ROYAL AVE
Address 2: SUITE #2
City: Simi Valley
State: California
ZIP Code: 93065
Phone: (805) 526-8637

Authorized Official

Name: DR. NEAL A. LASCOE, DDS
Title: OWNER/DENTIST
Phone: (805) 526-8637

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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