Individual
DR. PERIKLIS PROUSSAEFS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS, MS
Contact information
Practice address
3585 TELEGRAPH RD STE C, VENTURA, CA 93003-3476
(805) 676-1611
(805) 676-1521
Mailing address
3585 TELEGRAPH RD STE C, VENTURA, CA 93003-3476
(805) 676-1611
(805) 676-1521
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
45310
CA
1223P0700X
Prosthodontics
Primary
45310
CA
Other
Enumeration date
03/06/2007
Last updated
06/12/2020
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