| None | |
|
1601 Eastman Ave Unit 105 Ventura CA 93003-6441 | |
| (805) 658-0232 | |
| Not Available |
| Full Name | None |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 1601 Eastman Ave Unit 105, Ventura, California |
| Authorized Official Name and Position | Homayoun H Zadeh (PRESIDENT) |
| Authorized Official Contact | 8187037733 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| None 1601 Eastman Ave Unit 105 Ventura CA 93003-6441 Ph: (805) 658-0232 | None 1601 Eastman Ave Unit 105 Ventura CA 93003-6441 Ph: (805) 658-0232 |
| NPI Number | 1740667781 |
|---|---|
| Provider Enumeration Date | 04/29/2015 |
| Last Update Date | 04/29/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740667781 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 35503 (California) | Primary |
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