New Age Family Dental

NPI #1881997971 in Simi Valley, California

Provider Information

NPI Number: 1881997971
Entity Type: Organization
Organization Name: New Age Family Dental
Primary Specialty: Dentist
Enumeration Date: Dec 10, 2010
Last Updated: Dec 10, 2010

Practice Location

Address: 1350 E LOS ANGELES AVE
Address 2: SUITE #202
City: Simi Valley
State: California
ZIP Code: 93065-2898
Phone: (805) 520-6490

Authorized Official

Name: DR. SHAHRAM HOSSEINI, DENTIST, DDS
Title: OWNER
Phone: (805) 520-6490

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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