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Organization
GUSTAVO A. ASSATOURIANS D.D.S. INC.
Active
Organization
GUSTAVO A. ASSATOURIANS D.D.S. INC.
Active
Other names
Channel Islands Family Dental Office
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GUSTAVO ARIEL ASSATOURIANS DDS (OWNER/DR.)
(805) 985-6966
Entity
Organization
Contact information
Practice address
2601 N VENTURA RD, PORT HUENEME, CA 93041-2048
(805) 985-6966
(805) 984-6067
Mailing address
2601 N VENTURA RD, PORT HUENEME, CA 93041-2048
(805) 985-6966
(805) 984-6067
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
53751
CA
Other
Enumeration date
10/05/2007
Last updated
10/05/2007
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