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Organization
VENTURA SPECIALTY DENTAL GROUP
Active
Organization
VENTURA SPECIALTY DENTAL GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. DAISY GAGUI (OM)
(818) 703-7733
Entity
Organization
Contact information
Practice address
6325 TOPANGA CANYON BLVD, SUITE 202, WOODLAND HILLS, CA 91367-2006
(818) 703-7733
Mailing address
6325 TOPANGA CANYON BLVD, SUITE 202, WOODLAND HILLS, CA 91367-2006
(818) 703-7733
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
35503
CA
1223G0001X
General Practice Dentistry
35503
CA
Other
Enumeration date
09/08/2015
Last updated
09/08/2015
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