| NPI | 1528516606 |
|---|---|
| Doing Business As | PACIFIC VIEW DENTAL GROUP |
| Entity Type | Organization |
| Authorized Contact | PERIKLIS T PROUSSAEFS Owner 805-676-1611 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
| Additional Taxonomies | 122300000X Dentist |
| Enumeration Date | 2016-09-16 |
| Last Update Date | 2020-08-05 |