Tariq H.alsamaan D.d.s.dental Corp

NPI #1588069116 in Port Hueneme, California

Provider Information

NPI Number: 1588069116
Entity Type: Organization
Organization Name: Tariq H.alsamaan D.d.s.dental Corp
Primary Specialty: Dentist
Enumeration Date: Oct 24, 2014
Last Updated: Feb 5, 2016

Practice Location

Address: 607 W CHANNEL ISLANDS BLVD
City: Port Hueneme
State: California
ZIP Code: 93041-2136
Phone: (805) 985-2273

Authorized Official

Name: TARIQ HAFEZ ALSAMAAN, DDS
Title: DENTIST OWNER
Phone: (805) 985-2273

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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