| Conejo Smile Dental Group | |
|
1736 N Moorpark Rd Suite H Thousand Oaks CA 91360 | |
| (805) 557-0909 | |
| (805) 557-0908 |
| Full Name | Conejo Smile Dental Group |
|---|---|
| Speciality | Dentist |
| Location | 1736 N Moorpark Rd, Thousand Oaks, California |
| Authorized Official Name and Position | Ladan Naddafi (PRESIDENT OWNER) |
| Authorized Official Contact | 8055570909 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Conejo Smile Dental Group 498 Via Colinas Westlake Village CA 91362 Ph: (805) 370-8043 | Conejo Smile Dental Group 1736 N Moorpark Rd Suite H Thousand Oaks CA 91360 Ph: (805) 557-0909 |
| NPI Number | 1093777617 |
|---|---|
| Provider Enumeration Date | 04/06/2006 |
| Last Update Date | 08/07/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093777617 | NPI | - | NPPES |
| 48340 | Other | CA | CA DENTAL BOARD |
| G9307601 | Other | CA | DENTI-CAL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 48340 (California) | Primary |
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