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CAMARILLO CHILDRENS DENTAL GROUP NPI 1306967567


NPI Information

NPI: 1306967567
Provider Name: CAMARILLO CHILDRENS DENTAL GROUP
Classification: Dentist - 1223P0221X
Entity Type: Organization

Specialization: Pediatric Dentistry

Address:
3687 LAS POSAS RD
CAMARILLO, CA
ZIP 93010
Phone: (805) 484-2705
Get Directions

CAMARILLO CHILDRENS DENTAL GROUP is a pediatric dentistry dentist in Camarillo, CA. The provider is an age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs. CAMARILLO CHILDRENS DENTAL GROUP NPI is 1306967567. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

3687 LAS POSAS RD
CAMARILLO, CA
ZIP 93010-482
Phone: (805) 484-2705
Fax: (805) 484-5908

The provider's authorized official is Lynn Wan .
The authorized official title is Partner and has the following contact phone number (805) 484-2705.

The enumeration date for this NPI number is 4/3/2007 and was last updated on 8/22/2020.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
11223P0221XDentistPediatric Dentistry036029CALIFORNIAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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