Dr. Periklis Proussaefs, a Professional Dental Corporation

NPI #1174099113 in Santa Paula, California

Provider Information

NPI Number: 1174099113
Entity Type: Organization
Organization Name: Dr. Periklis Proussaefs, a Professional Dental Corporation
Primary Specialty: Dentist
Enumeration Date: Oct 17, 2018
Last Updated: Oct 17, 2018

Practice Location

Address: 900 EAST MAIN STREET
City: Santa Paula
State: California
ZIP Code: 93060
Phone: (805) 676-1611

Authorized Official

Name: DR. PERIKLIS PROUSSAEFS, DDS, MS
Title: OWNER/CEO/CLINIC DIRECTOR
Phone: (805) 676-1611

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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