Most Relevant Information
Provider Data
| NPI Number: | 1003021205 |
| Provider Name: | DEAN KENTON AMUNDSEN O.D. |
| Entity Type: | Individual |
| Taxonomy Code: | 152W00000X |
| Specialty: | Optometrist |
| License Number: | OPT 7925 TPA |
Most Important Dates
| Enumeration Date: | 05/11/2007 |
| Last Updated: | 07/08/2007 |
Provider Practice Location
2460 N PONDEROSA DR
SUITE A-101
CAMARILLO
CA
930102398
Practice Location Phone/Fax
| Phone: | 8054821136 |
| Fax: | 8053888499 |
Provider Mailing Location
2460 N PONDEROSA DR
SUITE A-101
CAMARILLO
CA
930102398
Provider Mailing Phone/Fax
| Phone: | 8054821136 |
| Fax: | 8053888499 |