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KHAZALI DENTAL CORPORATION NPI 1073698429


NPI Information

NPI: 1073698429
Provider Name: KHAZALI DENTAL CORPORATION

Doing Business As: MAIN STREET DENTAL GROUP

Classification: Dentist - 1223G0001X
Entity Type: Organization

Specialization: General Practice

Address:
4360-C E MAIN ST
VENTURA, CA
ZIP 93003
Phone: (805) 644-6110
Get Directions

KHAZALI DENTAL CORPORATION is a general practice dentist in Ventura, CA. The provider is a general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. KHAZALI DENTAL CORPORATION NPI is 1073698429. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Main Street Dental Group.

The provider's business location address is:

4360-C E MAIN ST
VENTURA, CA
ZIP 93003
Phone: (805) 644-6110
Fax: (805) 644-6160

The provider's authorized official is Maral Khazali .
The authorized official title is Owner Dds and has the following contact phone number (805) 644-6110.

The enumeration date for this NPI number is 10/26/2006 and was last updated on 2/4/2022.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
11223G0001XDentistGeneral PracticeYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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