| NPI | 1033641113 |
|---|---|
| Doing Business As | ELITE DENTISTRY OF SIMI VALLEY |
| Entity Type | Organization |
| Authorized Contact | JOHANNA P HANSEN Office Manager 805-526-1000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 302R00000X Health Maintenance Organization (Licence: CA 62127) |
| Enumeration Date | 2017-03-29 |
| Last Update Date | 2017-03-29 |