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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