Organization · Type 2 NPI

Perikis T. Proussaefs D D S M S A Professinal Corporation

Dental Clinic/Center · Ventura, CA

NPI number 1528516606 Active

Practice location

3585 Telegraph Rd Ste C
Ventura, CA 93003-3476

Call (805) 676-1611 Map

Mailing address

3585 Telegraph Rd
Ventura, CA 93003-3449

Specialties and licenses

TaxonomyCodeLicense
Dentist 122300000XNone listed
Dental Clinic/Center Primary 261QD0000XNone listed

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About NPI 1528516606

Perikis T. Proussaefs D D S M S A Professinal Corporation's National Provider Identifier is 1528516606, issued on Sep 16, 2016. The primary taxonomy on file is Dental Clinic/Center (261QD0000X), and the practice location is in Ventura, CA. The record was last updated on Aug 5, 2020.