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General NPI Number Information
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NPI Number | 1295513414
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Entity Type | Organization
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Legal Business Name | ASHWOOD DENTAL OFFICE OF VICTOR SARGISSIAN DDC INC.
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Dates
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Enumeration Date | 09/19/2023
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Last Update Date | 09/19/2023
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Provider Practice Location Address
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Address Line | 3922 TELEGRAPH RD
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City | VENTURA
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State | CA
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Zip | 93003-3637
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Country | US
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Telephone | 805-654-0880
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Fax | 805-654-7006
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Provider Business Mailing Address
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Address Line | 3922 TELEGRAPH RD
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City | VENTURA
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State | CA
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Zip | 93003-3637
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Country | US
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Telephone | 805-654-0880
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Fax | 805-654-7006
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Authorized Official
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Title or Position | OFFICE MANAGER
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Name | EMILY MONROY
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Credential |
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Telephone | 805-654-0880
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QD0000X
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Taxonomy Name | Dental Clinic/Center
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License Number |
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License Number State |
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