Provider Demographics
NPI:1073824546
Name:RAY KAZEMI DDS,INC.
Entity Type:Organization
Organization Name:RAY KAZEMI DDS,INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/DENTIST
Authorized Official - Prefix:DR
Authorized Official - First Name:RAYK
Authorized Official - Middle Name:
Authorized Official - Last Name:KAZEMI
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:805-486-4896
Mailing Address - Street 1:2500 SAVIERS RD
Mailing Address - Street 2:
Mailing Address - City:OXNARD
Mailing Address - State:CA
Mailing Address - Zip Code:93033-4522
Mailing Address - Country:US
Mailing Address - Phone:805-486-4896
Mailing Address - Fax:805-486-2946
Practice Address - Street 1:2500 SAVIERS RD
Practice Address - Street 2:
Practice Address - City:OXNARD
Practice Address - State:CA
Practice Address - Zip Code:93033-4522
Practice Address - Country:US
Practice Address - Phone:805-486-4896
Practice Address - Fax:805-486-2946
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-06-29
Last Update Date:2010-06-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA44906122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Single Specialty