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2601 N Ventura Rd Port Hueneme CA 93041-2048 | |
| (805) 985-6966 | |
| (805) 984-6067 |
| Full Name | |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 2601 N Ventura Rd, Port Hueneme, California |
| Authorized Official Name and Position | Gustavo Ariel Assatourians (OWNER/DR.) |
| Authorized Official Contact | 8059856966 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
2601 N Ventura Rd Port Hueneme CA 93041-2048 Ph: (805) 985-6966 | 2601 N Ventura Rd Port Hueneme CA 93041-2048 Ph: (805) 985-6966 |
| NPI Number | 1063600898 |
|---|---|
| Provider Enumeration Date | 10/05/2007 |
| Last Update Date | 10/05/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063600898 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 53751 (California) | Primary |
Dennis L Tank Dds Pc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 475 W Channel Islands Blvd, 203, Port Hueneme, CA 93041 Phone: 805-985-0300 | |