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1144069782
SUNRISE DERMATOLOGY PC
THOUSAND OAKS, CA
NPI
1144069782
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Entity Type
Organization
Authorized Contact
DAVID OTHMAN
CEO
818-639-2339
Organization Subpart ?
No
Primary Taxonomy
207N00000X Dermatology
Enumeration Date
2024-05-22
Last Update Date
2024-05-30
Business Address
SUNRISE DERMATOLOGY PC
3095 OLD CONEJO RD STE 300
THOUSAND OAKS, CA 91320-2130
Phone number: 805-864-2920
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Mailing Address
SUNRISE DERMATOLOGY PC
3095 OLD CONEJO RD STE 300
THOUSAND OAKS, CA 91320-2130
Phone number:
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