Individual
DR. DANE BUSS NIELSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
5700 RALSTON ST, STE. 303, VENTURA, CA 93003-6050
(805) 656-8884
(805) 642-5621
Mailing address
5700 RALSTON ST, STE. 303, VENTURA, CA 93003-6050
(805) 656-8884
(805) 642-5621
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
26495
CA
Other
Enumeration date
04/26/2007
Last updated
07/08/2007
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