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3555 Loma Vista Rd Ste 217 Ventura CA 93003-3161 | |
| (805) 643-4184 | |
| Not Available |
| Full Name | |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 3555 Loma Vista Rd Ste 217, Ventura, California |
| Authorized Official Name and Position | Anish Puri (SECRETARY) |
| Authorized Official Contact | 8052291252 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
3555 Loma Vista Rd Ste 217 Ventura CA 93003-3161 Ph: (805) 643-4184 | 3555 Loma Vista Rd Ste 217 Ventura CA 93003-3161 Ph: (805) 643-4184 |
| NPI Number | 1316728546 |
|---|---|
| Provider Enumeration Date | 10/12/2023 |
| Last Update Date | 07/18/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316728546 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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