NPI | 1164561031 |
---|---|
Doing Business As | VENTURA DENTAL GROUP |
Entity Type | Organization |
Authorized Contact | MICHAEL J THORNE President 805-644-9501 |
Organization Subpart ? | No |
Primary Taxonomy | 122300000X Dentist (Licence: CA 43868) |
Enumeration Date | 2007-02-06 |
Last Update Date | 2020-08-22 |