Eldean C Addy, DDS
Dentist, General Practice in Ventura, CA. Individual provider (NPI-1).
NPI number1245310697
StatusActive
Last updated in NPPESJul 8, 2007
Details
- NPI
- 1245310697
- Entity type
- Individual (NPI-1)
- Name
- Eldean C Addy
- Credential
- DDS
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Oct 17, 2006
- Last updated
- Jul 8, 2007
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1223G0001X | Dentist, General Practice | 29198 | CA | Yes |
Practice location
2617 Loma Vista RdVentura, CA 93003-1548
Phone 805-643-4704
Mailing address
2617 Loma Vista Rd.Ventura, CA 93003-1548
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