Organization
CAMARILLO CHILDRENS DENTAL GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LYNN WAN DDS (PARTNER)
(805) 484-2705
Entity
Organization
Contact information
Practice address
3687 LAS POSAS RD, CAMARILLO, CA 93010-1482
(805) 484-2705
(805) 484-5908
Mailing address
3687 LAS POSAS RD, CAMARILLO, CA 93010-1482
(805) 484-2705
(805) 484-5908
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
036029
CA
Other
Enumeration date
04/03/2007
Last updated
08/22/2020
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