Most Relevant Information
Provider Data
| NPI Number: | 1003036476 |
| Provider Name: | DANE BUSS NIELSEN DDS |
| Entity Type: | Individual |
| Taxonomy Code: | 1223G0001X |
| Specialty: | Dentist |
| License Number: | 26495 |
Most Important Dates
| Enumeration Date: | 04/26/2007 |
| Last Updated: | 07/08/2007 |
Provider Practice Location
5700 RALSTON ST
STE. 303
VENTURA
CA
930036050
Practice Location Phone/Fax
| Phone: | 8056568884 |
| Fax: | 8056425621 |
Provider Mailing Location
5700 RALSTON ST
STE. 303
VENTURA
CA
930036050
Provider Mailing Phone/Fax
| Phone: | 8056568884 |
| Fax: | 8056425621 |