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103 S Mills Rd Ste 101 Ventura CA 93003-3456 | |
| (805) 643-5026 | |
| (805) 643-5029 |
| Full Name | |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 103 S Mills Rd Ste 101, Ventura, 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 |
|---|---|
103 S Mills Rd Ste 101 Ventura CA 93003-3456 Ph: (805) 643-5026 | 103 S Mills Rd Ste 101 Ventura CA 93003-3456 Ph: (805) 643-5026 |
| NPI Number | 1457761983 |
|---|---|
| Provider Enumeration Date | 05/06/2014 |
| Last Update Date | 01/04/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457761983 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (California) | Primary |
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