Individual
DR. JOHN C JEPPESEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
178 S VICTORIA AVE, STE C, VENTURA, CA 93003-4369
(805) 644-2270
(805) 644-2576
Mailing address
178 S VICTORIA AVE, STE C, VENTURA, CA 93003-4369
(805) 644-2270
(805) 644-2576
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
31638
CA
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
31638
CA
Other
Enumeration date
08/30/2005
Last updated
01/23/2009
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