Healthcare Provider Details

I. General information

NPI: 1902845845
Provider Name (Legal Business Name): DAVID IRONI DMD
Entity Type: Individual
Gender: Male
Sole Proprietor: X

II. Dates (important events)

Enumeration Date: 06/06/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

500 W 5TH ST
OXNARD CA
93030
US

IV. Provider business mailing address

500 W 5TH ST
OXNARD CA
93030
US

V. Phone/Fax

Practice location:
  • Phone: 805-487-2781
  • Fax: 805-487-2782
Mailing address:
  • Phone: 805-487-2781
  • Fax: 805-487-2782

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code122300000X
TaxonomyDentist
License Number36382
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: