Organization
JABAITI DENTAL CORPORATION
Active
Other names
Avra Dental
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TARIQ JABAITI DDS (PRESIDENT/DENTIST)
(805) 941-1001
Entity
Organization
Contact information
Practice address
1708 S VICTORIA AVE STE B, VENTURA, CA 93003-6595
(805) 941-1001
Mailing address
1708 S VICTORIA AVE STE B, VENTURA, CA 93003-6595
(805) 941-1001
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
12/27/2019
Last updated
07/24/2020
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