| Prism Dental Group | |
|
355 E Avenida De Los Arboles Suite A Thousand Oaks CA 91360-2973 | |
| (805) 241-5353 | |
| (805) 241-1515 |
| Full Name | Prism Dental Group |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 355 E Avenida De Los Arboles, Thousand Oaks, California |
| Authorized Official Name and Position | Savitha Siddappa (PRESIDENT) |
| Authorized Official Contact | 8052415353 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Prism Dental Group 355 E Avenida De Los Arboles Suite A Thousand Oaks CA 91360-2973 Ph: (805) 241-5353 | Prism Dental Group 355 E Avenida De Los Arboles Suite A Thousand Oaks CA 91360-2973 Ph: (805) 241-5353 |
| NPI Number | 1891928412 |
|---|---|
| Provider Enumeration Date | 08/31/2009 |
| Last Update Date | 05/04/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1891928412 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 56598 (California) | Primary |
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