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General NPI Number Information
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NPI Number | 1902362387
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Entity Type | Organization
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Legal Business Name | RADFAR SAADAT DENTAL PARTNERSHIP
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Dates
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Enumeration Date | 02/11/2019
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Last Update Date | 01/13/2021
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Provider Practice Location Address
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Address Line | 300 E ESPLANADE DR STE 1600
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City | OXNARD
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State | CA
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Zip | 93036-1283
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Country | US
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Telephone | 805-486-6327
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Fax |
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Provider Business Mailing Address
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Address Line | 2035 SAVIERS RD STE 3
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City | OXNARD
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State | CA
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Zip | 93033-3656
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Country | US
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Telephone | 805-486-6327
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Fax |
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Authorized Official
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Title or Position | DIRECTOR
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Name | MR. MANUEL FUENTES
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Credential |
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Telephone | 310-870-9652
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 122300000X
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Taxonomy Name | Dentist
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License Number |
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License Number State |
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