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General NPI Number Information
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NPI Number | 1225922461
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Entity Type | Organization
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Legal Business Name | VENTURA BRIGHT DENTAL PRACTICE
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Dates
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Enumeration Date | 06/04/2025
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Last Update Date | 06/12/2025
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Provider Practice Location Address
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Address Line | 3450 LOMA VISTA RD
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City | VENTURA
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State | CA
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Zip | 93003-3026
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Country | US
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Telephone | 530-500-2290
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Fax |
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Provider Business Mailing Address
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Address Line | 613 MARIJEAN WAY APT A
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City | REDDING
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State | CA
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Zip | 96003-5648
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Country | US
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Telephone | 336-870-0339
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DR. SAM ROHANI
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Credential | DMD
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Telephone | 530-500-2290
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QD0000X
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Taxonomy Name | Dental Clinic/Center
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License Number |
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License Number State |
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