Individual
ADITI KODESIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.D.S.
Contact information
Practice address
200 S WELLS RD STE 200, VENTURA, CA 93004-1377
(805) 647-6322
Mailing address
200 S WELLS RD, STE 200, VENTURA, CA 93004
(805) 647-6322
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
64827
CA
Other
Enumeration date
08/06/2015
Last updated
04/20/2016
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