Organization
CAMARRILLO SPRINGS DENTAL GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
YVONNE LOPEZ (MANAGER)
(805) 388-3008
Entity
Organization
Contact information
Practice address
816 CAMARILLO SPRINGS RD, SUITE #L, CAMARILLO, CA 93012-9441
(805) 388-3008
(805) 388-0062
Mailing address
816 CAMARILLO SPRINGS RD, SUITE #L, CAMARILLO, CA 93012-9441
(805) 388-3008
(805) 388-0062
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
20546
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
B20546-11
DENTICAL
CA
Enumeration date
05/13/2011
Last updated
05/13/2011
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