Provider Demographics
NPI:1265655047
Name:LABARE, JOHN C (DDS)
Entity Type:Individual
Prefix:DR
First Name:JOHN
Middle Name:C
Last Name:LABARE
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Other - Credentials:
Mailing Address - Street 1:1100 WEST GONZALES ROAD
Mailing Address - Street 2:SUITE #102
Mailing Address - City:OXNARD
Mailing Address - State:CA
Mailing Address - Zip Code:93036-3373
Mailing Address - Country:US
Mailing Address - Phone:805-647-5128
Mailing Address - Fax:
Practice Address - Street 1:1100 WEST GONZALEZ
Practice Address - Street 2:SUITE #102
Practice Address - City:OXNARD
Practice Address - State:CA
Practice Address - Zip Code:93036-3373
Practice Address - Country:US
Practice Address - Phone:805-983-0217
Practice Address - Fax:805-983-0669
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-10
Last Update Date:2013-05-13
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CA313041223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice