Provider Demographics
NPI:1295513414
Name:ASHWOOD DENTAL OFFICE OF VICTOR SARGISSIAN DDC INC.
Entity type:Organization
Organization Name:ASHWOOD DENTAL OFFICE OF VICTOR SARGISSIAN DDC INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:EMILY
Authorized Official - Middle Name:
Authorized Official - Last Name:MONROY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:805-654-0880
Mailing Address - Street 1:3922 TELEGRAPH RD
Mailing Address - Street 2:
Mailing Address - City:VENTURA
Mailing Address - State:CA
Mailing Address - Zip Code:93003-3637
Mailing Address - Country:US
Mailing Address - Phone:805-654-0880
Mailing Address - Fax:805-654-7006
Practice Address - Street 1:3922 TELEGRAPH RD
Practice Address - Street 2:
Practice Address - City:VENTURA
Practice Address - State:CA
Practice Address - Zip Code:93003-3637
Practice Address - Country:US
Practice Address - Phone:805-654-0880
Practice Address - Fax:805-654-7006
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-09-19
Last Update Date:2023-09-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental