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305 E Port Hueneme Rd Port Hueneme CA 93041-3222 | |
(805) 488-1112 | |
Not Available |
Full Name | |
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Speciality | Dentist - General Practice |
Location | 305 E Port Hueneme Rd, Port Hueneme, California |
Authorized Official Name and Position | Amy Louise Buttery (OPERATIONS SUPPORT MANAGER) |
Authorized Official Contact | 8054561235 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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305 E Port Hueneme Rd Port Hueneme CA 93041-3222 Ph: (805) 488-1112 | 305 E Port Hueneme Rd Port Hueneme CA 93041-3222 Ph: (805) 488-1112 |
NPI Number | 1922527209 |
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Provider Enumeration Date | 09/18/2017 |
Last Update Date | 07/21/2022 |
Identifier | Type | State | Issuer |
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1922527209 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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1223G0001X | Dentist - General Practice | (* (Not Available)) | 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 | |