| Buena Dental Group | |
|
421 S Ventura Rd Suite 40 Oxnard CA 93030-6551 | |
| (805) 382-8000 | |
| (805) 382-8002 |
| Full Name | Buena Dental Group |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 421 S Ventura Rd, Oxnard, California |
| Authorized Official Name and Position | Guillermo Hatano Fujimura (OWNER) |
| Authorized Official Contact | 8053828000 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Buena Dental Group Po Box 312 Oxnard CA 93032-0312 Ph: (805) 382-8000 | Buena Dental Group 421 S Ventura Rd Suite 40 Oxnard CA 93030-6551 Ph: (805) 382-8000 |
| NPI Number | 1639295959 |
|---|---|
| Provider Enumeration Date | 03/21/2007 |
| Last Update Date | 03/05/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1639295959 | NPI | - | NPPES |
| G91463 | Other | CA | DENTICAL PROVIDER |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 38283 (California) | Primary |
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