RALPH J MAIELLO DDS INC
Managed Care Organizations at Los Angeles Ave, Simi Valley, CA

License number
California 033335
Category
Managed Care Organizations
Type
Point of Service
Owner
Name: DR. RALPH J MAIELLO D.D.S
Title: OWENER
Phone: (805) 584-2228
Address
Address
495 E Los Angeles Ave, Simi Valley, CA 93065
National Provider ID: 1275729527
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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Ralph J. Maiello, D.D.S., Inc

495 E Los Angeles Ave, Simi Valley, CA 93065

Registration:
Dec 7, 1987
State ID:
01424047
Business type:
Articles of Incorporation
President:
Ralph J. Maiello (President)

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