Provider Demographics
NPI:1770896797
Name:SOMANI, AMIT S (DMD)
Entity type:Individual
Prefix:DR
First Name:AMIT
Middle Name:S
Last Name:SOMANI
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2153 TAPO ST
Mailing Address - Street 2:
Mailing Address - City:SIMI VALLEY
Mailing Address - State:CA
Mailing Address - Zip Code:93063-3418
Mailing Address - Country:US
Mailing Address - Phone:805-583-1699
Mailing Address - Fax:805-581-1972
Practice Address - Street 1:2153 TAPO ST
Practice Address - Street 2:
Practice Address - City:SIMI VALLEY
Practice Address - State:CA
Practice Address - Zip Code:93063-3418
Practice Address - Country:US
Practice Address - Phone:805-583-1699
Practice Address - Fax:805-581-1972
Is Sole Proprietor?:No
Enumeration Date:2010-07-19
Last Update Date:2010-07-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA594541223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice