Organization
PREMIER ORTHODONTIC SPECIALISTS
Active
Other names
Premier Orthodontics
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PAGE HUDSON DDS (PRESIDENT)
(805) 485-1111
Entity
Organization
Contact information
Practice address
2100 SOLAR DR, SUITE 200, OXNARD, CA 93036-2661
(805) 485-1111
(805) 981-7050
Mailing address
2100 SOLAR DR, SUITE 200, OXNARD, CA 93036-2661
(805) 485-1111
(805) 981-7050
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
36249
CA
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
46858
CA
Other
Enumeration date
04/04/2012
Last updated
04/04/2012
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