Organization
PERIKIS T. PROUSSAEFS D D S M S A PROFESSINAL CORPORATION
Active
Other names
Pacific View Dental Group
Organization subpart
No
Provider details
NPI number
Authorized official
PERIKLIS T PROUSSAEFS (OWNER)
(805) 676-1611
Entity
Organization
Contact information
Practice address
3585 TELEGRAPH RD STE C, VENTURA, CA 93003-3476
(805) 676-1611
Mailing address
3585 TELEGRAPH RD, VENTURA, CA 93003-3449
(805) 676-1611
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
—
—
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
09/16/2016
Last updated
08/05/2020
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