Organization
LAUTT & ILAPOGU A PROFESSIONAL DENTAL CORPORATION
Active
Other names
Coastal Orthodontic Care II
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ADAM GARY LAUTT D.D.S., M.S., INC. (PRESIDENT)
(805) 650-1080
Entity
Organization
Contact information
Practice address
1730 S VICTORIA AVE STE 250, VENTURA, CA 93003-6167
(805) 650-1080
(805) 650-1087
Mailing address
1730 S VICTORIA AVE STE 250, VENTURA, CA 93003-6167
(805) 650-1080
(805) 650-1087
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
02/20/2007
Last updated
08/22/2020
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