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Organization
ALFREDO BREST VICO, D.D.S, CO
Active
Organization
ALFREDO BREST VICO, D.D.S, CO
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALFREDO VICO (OWNER)
(404) 593-3578
Entity
Organization
Contact information
Practice address
751 W VENTURA ST STE F, FILLMORE, CA 93015-1800
(805) 524-5009
Mailing address
751 W VENTURA ST STE F, FILLMORE, CA 93015-1800
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
261QD0000X
Dental Clinic/Center
—
—
Other
Enumeration date
02/13/2024
Last updated
08/15/2024
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