Organization
BRIDGE & TEMPLE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CLAIRE M AZZAM OD (DR)
(310) 850-5953
Entity
Organization
Contact information
Practice address
828 E MAIN STREET, VENTURA, CA 93001
(805) 643-5687
(805) 643-4175
Mailing address
828 E MAIN STREET, VENTURA, CA 93001
(805) 643-5687
(805) 643-4175
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
33453
CA
Other
Enumeration date
11/03/2017
Last updated
11/20/2017
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