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SEA BREEZE DENTAL CARE NPI 1356587521


NPI Information

NPI: 1356587521
Provider Name: SEA BREEZE DENTAL CARE
Classification: Dentist - 1223G0001X
Entity Type: Organization

Specialization: General Practice

Address:
29525 CANWOOD ST.
#250
AGOURA HILLS, CA
ZIP 91301
Phone: (818) 991-9852
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SEA BREEZE DENTAL CARE is a general practice dentist in Agoura Hills, 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. SEA BREEZE DENTAL CARE NPI is 1356587521. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

29525 CANWOOD ST.
#250
AGOURA HILLS, CA
ZIP 91301
Phone: (818) 991-9852
Fax: (818) 991-9899

The provider's authorized official is Boris Zak .
The authorized official title is Owner and has the following contact phone number (818) 991-9852.

The enumeration date for this NPI number is 12/18/2008 and was last updated on 12/18/2008.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
11223G0001XDentistGeneral Practice28838CALIFORNIAYes

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: 4/28/2024

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