| Vista Village Dental | |
|
24355 Lyons Ave Ste 212 Santa Clarita CA 91321-2300 | |
| (661) 259-5001 | |
| (661) 259-5454 |
| Full Name | Vista Village Dental |
|---|---|
| Speciality | Dentist |
| Location | 24355 Lyons Ave, Santa Clarita, California |
| Authorized Official Name and Position | Sean Sohail Hakimi (OWNER) |
| Authorized Official Contact | 6612553130 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Vista Village Dental Po Box 55368 Valencia CA 91385-0368 Ph: (661) 255-3130 | Vista Village Dental 24355 Lyons Ave Ste 212 Santa Clarita CA 91321-2300 Ph: (661) 259-5001 |
| NPI Number | 1447441712 |
|---|---|
| Provider Enumeration Date | 08/05/2007 |
| Last Update Date | 12/26/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1447441712 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 39643 (California) | Primary |
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