| Paraiso Family Dental And Orthodontics | |
|
350 Via Las Brisas 210 Newbury Park CA 91320-7034 | |
| (805) 480-0033 | |
| Not Available |
| Full Name | Paraiso Family Dental And Orthodontics |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 350 Via Las Brisas, Newbury Park, California |
| Authorized Official Name and Position | Gary Duane Chaffee (PRESIDENT) |
| Authorized Official Contact | 8054800033 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Paraiso Family Dental And Orthodontics 350 Via Las Brisas Suite 210 Newbury Park CA 91320-7034 Ph: (805) 480-0033 | Paraiso Family Dental And Orthodontics 350 Via Las Brisas 210 Newbury Park CA 91320-7034 Ph: (805) 480-0033 |
| NPI Number | 1750402889 |
|---|---|
| Provider Enumeration Date | 04/03/2007 |
| Last Update Date | 05/24/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1750402889 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 25371 (California) | Primary |
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