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General NPI Number Information
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NPI Number | 1245129154
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Entity Type | Organization
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Legal Business Name | MATIAN DENTAL PARTNERS
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Dates
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Enumeration Date | 07/02/2025
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Last Update Date | 07/02/2025
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Provider Practice Location Address
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Address Line | 28632 ROADSIDE DR STE 270
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City | AGOURA HILLS
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State | CA
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Zip | 91301-6301
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Country | US
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Telephone | 818-706-6077
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Fax |
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Provider Business Mailing Address
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Address Line | 23770 PARK BELMONTE
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City | CALABASAS
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State | CA
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Zip | 91302-1605
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Country | US
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Telephone | 818-521-2522
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Fax |
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Authorized Official
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Title or Position | PARTNER/OWNER
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Name | SHAWN MATIAN
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Credential | DDS
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Telephone | 818-521-2222
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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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