Healthcare Provider Details

I. General information

NPI: 1932012465
Provider Name (Legal Business Name): NOV DENTAL, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/25/2026
Last Update Date: 09/25/2026
Certification Date: 09/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

25160 RYE CANYON RD
SANTA CLARITA CA
91355
US

IV. Provider business mailing address

25160 RYE CANYON RD
SANTA CLARITA CA
91355
US

V. Phone/Fax

Practice location:
  • Phone: 661-556-1966
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QD0000X
TaxonomyDental Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: SEO KYUNG OH
Title or Position: OWNER
Credential: DDS
Phone: 714-232-2034