Alfredo Brest Vico, D.D.S, Co
Dentist, General Practice in Fillmore, CA. Organization (NPI-2).
NPI number1497519086
StatusActive
Last updated in NPPESAug 15, 2024
Details
- NPI
- 1497519086
- Entity type
- Organization (NPI-2)
- Legal business name
- Alfredo Brest Vico, D.D.S, Co
- Organization subpart
- No
- Enumeration date
- Feb 13, 2024
- Certification date
- Aug 15, 2024
- Last updated
- Aug 15, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1223G0001X | Dentist, General Practice | – | – | Yes |
| 261QD0000X | Clinic/Center, Dental | – | – |
Practice location
751 W Ventura St Ste FFillmore, CA 93015-1800
Phone 805-524-5009
Mailing address
751 W Ventura St Ste FFillmore, CA 93015-1800
Other practice locations
2940 E Thousand Oaks Blvd Ste D
Thousand Oaks, CA 91362-3291
Thousand Oaks, CA 91362-3291
Phone 805-409-9009
Authorized official
Alfredo Vico
Owner
4045933578
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