Organization
CAMMAX INC
Active
Other names
Buena dental Group
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GUILLERMO HATANO FUJIMURA D.D.S (OWNER)
(805) 382-8000
Entity
Organization
Contact information
Practice address
421 S VENTURA RD, SUITE 40, OXNARD, CA 93030-6551
(805) 382-8000
(805) 382-8002
Mailing address
PO BOX 312, OXNARD, CA 93032-0312
(805) 382-8000
(805) 382-8002
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
38283
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
G91463
DENTICAL PROVIDER
CA
Enumeration date
03/21/2007
Last updated
03/05/2009
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