|
| |
|
26 S Garden St Suite I & J Ventura CA 93001-4521 | |
| (805) 648-1090 | |
| (805) 641-9130 |
| Full Name | |
|---|---|
| Speciality | Dentist |
| Location | 26 S Garden St, Ventura, California |
| Authorized Official Name and Position | Michael J Thorne (PRESIDENT) |
| Authorized Official Contact | 8056481090 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
26 S Garden St Suite I & J Ventura CA 93001-4521 Ph: (805) 648-1090 | 26 S Garden St Suite I & J Ventura CA 93001-4521 Ph: (805) 648-1090 |
| NPI Number | 1053450213 |
|---|---|
| Provider Enumeration Date | 02/05/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053450213 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 43868 (California) | 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 |