Organization
ERIC TAMSUT, DMD INC.
Active
Other names
Eric Tamsut, DMD Inc.
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ERIC TAMSUT (CEO)
(818) 661-8338
Entity
Organization
Contact information
Practice address
3615 LAS POSAS RD STE 145, CAMARILLO, CA 93010-1428
(818) 661-8338
Mailing address
1230 KIRKFORD WAY, WESTLAKE VILLAGE, CA 91361-3722
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
E3231383
DRIVER LICENSE
CA
Enumeration date
08/24/2020
Last updated
08/24/2020
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