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1190 S Victoria Ave Suite 302 Ventura CA 93003-6507 | |
| (805) 639-8801 | |
| (805) 639-4077 |
| Full Name | |
|---|---|
| Speciality | Dentist - Endodontics |
| Location | 1190 S Victoria Ave, Ventura, California |
| Authorized Official Name and Position | Brian T Barker (PRESIDENT) |
| Authorized Official Contact | 8056398801 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
1190 S Victoria Ave Suite 302 Ventura CA 93003-6507 Ph: (805) 639-8801 | 1190 S Victoria Ave Suite 302 Ventura CA 93003-6507 Ph: (805) 639-8801 |
| NPI Number | 1770901480 |
|---|---|
| Provider Enumeration Date | 03/31/2014 |
| Last Update Date | 03/31/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1770901480 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223E0200X | Dentist - Endodontics | 55666 (California) | Primary |
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