IRA R SIMON

NOVATO, CA
NPI1356415772
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1223P0300X Dentist, Periodontics
(Licence: CA  240396)
Enumeration Date2006-11-17
Last Update Date2007-07-08
Business Address
Dr. IRA R SIMON DDS
1730 NOVATO BLVD SUITE G
NOVATO, CA 94947-3048
Phone number: 415-897-7770
Mailing Address
Dr. IRA R SIMON DDS
1730 NOVATO BLVD STE G
NOVATO, CA 94947-3048
Phone number: 415-897-7770