Provider Demographics
NPI:1851505051
Name:SEE, JOHN K (DDS)
Entity Type:Individual
Prefix:DR
First Name:JOHN
Middle Name:K
Last Name:SEE
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3901 LAS POSAS RD
Mailing Address - Street 2:SUITE 109
Mailing Address - City:CAMARILLO
Mailing Address - State:CA
Mailing Address - Zip Code:93010-1501
Mailing Address - Country:US
Mailing Address - Phone:805-482-1984
Mailing Address - Fax:805-482-5945
Practice Address - Street 1:3901 LAS POSAS RD
Practice Address - Street 2:SUITE 109
Practice Address - City:CAMARILLO
Practice Address - State:CA
Practice Address - Zip Code:93010-1501
Practice Address - Country:US
Practice Address - Phone:805-482-1984
Practice Address - Fax:805-485-5945
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-09
Last Update Date:2009-02-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA45772122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist