Konstantinos Proussaefs in Simi Valley - Dentist
Konstantinos Proussaefs - NPI 1326237595
Konstantinos Proussaefs is a Dentist in Simi Valley, California. Konstantinos Proussaefs practices all healthcare services and medical treatments related to Dentist. The NPI Number for Konstantinos Proussaefs is 1326237595. The last update date is 2007-10-23.
Konstantinos Proussaefs's current location address is 3652 Young Wolf Dr, Simi Valley, California. You can contact this provider via phone number 8055820785 and fax number 8055820785. The mailing address for Konstantinos Proussaefs is 3652 Young Wolf Dr, Simi Valley, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Konstantinos Proussaefs |
|---|---|
| Address | 3652 Young Wolf Dr, Simi Valley, California |
| Phone Number | 8055820785 |
| Fax Number | 8055820785 |
| Sole Proprietor | N |
| Credentials | D.D.S. |
NPI Number Detail
| NPI Number | 1326237595 |
|---|---|
| Provider Enumeration Date | 2007-10-23 |
| Last Updated Date | 2007-10-23 |
Provider Mailing Address Detail
| Address | 3652 Young Wolf Dr |
|---|---|
| City | Simi Valley |
| State | California (CA) |
| Post Code | 930650249 |
| Phone Number | 8055820785 |
| Fax Number | 8055820785 |
Provider's Primary Taxonomy Detail
| Speciality | Dentist |
|---|---|
| Taxonomy | 122300000X |
| Licence No | 50439 |
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Definition: A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: denti |
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What is the unique provider identifier assigned to Konstantinos Proussaefs?
The Konstantinos Proussaefs has been issued the NPI (National Provider Identifier) 1326237595 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Where is the Konstantinos Proussaefs located?
The Konstantinos Proussaefs is located at 3652 Young Wolf Dr, Simi Valley, CA 930650249.
What is the Konstantinos Proussaefs's specialty and taxonomy code?
The Konstantinos Proussaefs's specialty is Dentist, and the corresponding taxonomy code is 122300000X.
When was the Konstantinos Proussaefs's 1326237595 issued?
The Konstantinos Proussaefs's 1326237595 was issued on 2007-10-23.
When was the Konstantinos Proussaefs's information last updated?
The Konstantinos Proussaefs's information was last updated on 2007-10-23.