Kambiz Mahdavi, DDS, a Professional Dental Corporation
Kambiz Mahdavi, DDS, a Professional Dental Corporation provides Dentist services in Thousand Oaks, California. Licensed in California. Registered with an NPI since 2007.
- Licensed in
- CA
- In the registry since
- 2007
Practice location Address checks out
2875 E Thousand Oaks BlvdThousand Oaks, CA 91362-3202 Not confirmed with CMS for 13 years — call before visiting
Phone: (805) 496-2200
Fax: (805) 496-2225
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Dentist (primary) | Taxonomy 122300000X · Licence 52639 (CA) |
|---|
Record details
| NPI number | 1124248091 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Kambiz Mahdavi — President · (805) 496-2200 |
| Other names | Skyline Dental |
| NPI enumerated | April 26, 2007 |
| Last updated in NPPES | December 4, 2012 |
| Mailing address | 2875 E Thousand Oaks Blvd, Thousand Oaks, CA 91362-3202 |
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Dr. Kambiz Mahdavi, DDS
2875 E Thousand Oaks Blvd, Thousand Oaks, CA 91362-3202 · (805) 496-2200