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1545 Morse Ave Ste A Ventura CA 93003-5171 | |
| (805) 676-1800 | |
| (805) 676-1818 |
| Full Name | |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 1545 Morse Ave Ste A, Ventura, California |
| Authorized Official Name and Position | Ronald Dale Atanay (PRESIDENT) |
| Authorized Official Contact | 7608871876 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
1545 Morse Ave Ste A Ventura CA 93003-5171 Ph: (805) 676-1800 | 1545 Morse Ave Ste A Ventura CA 93003-5171 Ph: (805) 676-1800 |
| NPI Number | 1386151538 |
|---|---|
| Provider Enumeration Date | 01/09/2018 |
| Last Update Date | 01/09/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386151538 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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