Provider Demographics
NPI:1568689883
Name:HEFELFINGER, DANIEL T (PHD , DDS)
Entity Type:Individual
Prefix:DR
First Name:DANIEL
Middle Name:T
Last Name:HEFELFINGER
Suffix:
Gender:M
Credentials:PHD , DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3400 LOMA VISTA RD
Mailing Address - Street 2:# 5
Mailing Address - City:VENTURA
Mailing Address - State:CA
Mailing Address - Zip Code:93003-3033
Mailing Address - Country:US
Mailing Address - Phone:805-642-5196
Mailing Address - Fax:805-642-1210
Practice Address - Street 1:3400 LOMA VISTA RD
Practice Address - Street 2:# 5
Practice Address - City:VENTURA
Practice Address - State:CA
Practice Address - Zip Code:93003-3033
Practice Address - Country:US
Practice Address - Phone:805-642-5196
Practice Address - Fax:805-642-1210
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-19
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA274371223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice