Full Name | |
---|---|
Speciality | Dentist - General Practice |
Location | 4360-c E Main St, Ventura, California |
Authorized Official Name and Position | Maral Khazali (OWNER DDS) |
Authorized Official Contact | 8056446110 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Po Box 920050 Dallas TX 75392-0050 Ph: (714) 508-3600 | 4360-c E Main St Ventura CA 93003 Ph: (805) 644-6110 |
NPI Number | 1073698429 |
---|---|
Provider Enumeration Date | 10/26/2006 |
Last Update Date | 02/04/2022 |
Identifier | Type | State | Issuer |
---|---|---|---|
1073698429 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
Jacob Rider Dds Corporation Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 2437 Harbor Blvd, Ventura, CA 93001 Phone: 805-804-5590 | |
Nanda Specialists: A Dental Group Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 3088 Telegraph Rd Ste A, Ventura, CA 93003 Phone: 907-821-1992 | |
Ventura Dental Specialty Group Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 3390 Loma Vista Rd, Suite#c, Ventura, CA 93003 Phone: 805-658-0700 Fax: 805-658-0777 |