Healthcare Provider Details

I. General information

NPI: 1346892221
Provider Name (Legal Business Name): BESHOY ESKANDAR DDS
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/11/2019
Last Update Date: 05/12/2021
Certification Date: 04/17/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3959 TELEGRAPH RD
VENTURA CA
93003-3636
US

IV. Provider business mailing address

3959 TELEGRAPH RD
VENTURA CA
93003-3636
US

V. Phone/Fax

Practice location:
  • Phone: 805-270-9714
  • Fax:
Mailing address:
  • Phone: 805-270-9714
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code122300000X
TaxonomyDentist
License Number103997
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: