Sea Breeze Dental Care | |
29525 Canwood St. #250 Agoura Hills CA 91301 | |
(818) 991-9852 | |
(818) 991-9899 |
Full Name | Sea Breeze Dental Care |
---|---|
Speciality | Dentist - General Practice |
Location | 29525 Canwood St., Agoura Hills, California |
Authorized Official Name and Position | Boris Zak (OWNER) |
Authorized Official Contact | 8189919852 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Sea Breeze Dental Care 29525 Canwood St. #250 Agoura Hills CA 91301 Ph: (818) 991-9852 | Sea Breeze Dental Care 29525 Canwood St. #250 Agoura Hills CA 91301 Ph: (818) 991-9852 |
NPI Number | 1356587521 |
---|---|
Provider Enumeration Date | 12/18/2008 |
Last Update Date | 12/18/2008 |
Identifier | Type | State | Issuer |
---|---|---|---|
1356587521 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223G0001X | Dentist - General Practice | 28838 (California) | Primary |
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› Verified 4 days ago
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