Organization
COUNTY OF VENTURA
Active
Other names
Magnolia Dental
Organization subpart
No
Provider details
NPI number
Authorized official
THERESA CHO MD (CEO - AMBULATORY CARE)
(805) 677-5290
Entity
Organization
Contact information
Practice address
2220 E GONZALES RD STE 110, OXNARD, CA 93036-8293
(805) 981-6660
Mailing address
800 S VICTORIA AVE # L4640, VENTURA, CA 93009-0003
(805) 677-5146
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Enumeration date
01/16/2025
Last updated
01/16/2025
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