| Goldenberg Dental, Inc. | |
|
5700 Ralston St Suite 310 Ventura CA 93003-7869 | |
| (805) 642-4541 | |
| (805) 642-5621 |
| Full Name | Goldenberg Dental, Inc. |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 5700 Ralston St, Ventura, California |
| Authorized Official Name and Position | Joel Alan Goldenberg (PRESIDENT) |
| Authorized Official Contact | 8056424541 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Goldenberg Dental, Inc. 5700 Ralston Street Suite 310 Ventura CA 93003-7869 Ph: (805) 642-4541 | Goldenberg Dental, Inc. 5700 Ralston St Suite 310 Ventura CA 93003-7869 Ph: (805) 642-4541 |
| NPI Number | 1235508508 |
|---|---|
| Provider Enumeration Date | 09/17/2015 |
| Last Update Date | 09/17/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235508508 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 31269 (California) | Primary |
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