Provider Demographics
NPI:1174358550
Name:THE WILGUS & HUNTER BUSINESS PARTNERSHIP
Entity type:Organization
Organization Name:THE WILGUS & HUNTER BUSINESS PARTNERSHIP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:DIANE
Authorized Official - Middle Name:ALINDA
Authorized Official - Last Name:ROESSLER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:805-388-1730
Mailing Address - Street 1:3801 LAS POSAS RD STE 205
Mailing Address - Street 2:
Mailing Address - City:CAMARILLO
Mailing Address - State:CA
Mailing Address - Zip Code:93010-1426
Mailing Address - Country:US
Mailing Address - Phone:805-388-1730
Mailing Address - Fax:805-388-2994
Practice Address - Street 1:3801 LAS POSAS RD STE 205
Practice Address - Street 2:
Practice Address - City:CAMARILLO
Practice Address - State:CA
Practice Address - Zip Code:93010-1426
Practice Address - Country:US
Practice Address - Phone:805-388-1730
Practice Address - Fax:805-388-2994
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:THE WILGUS & HUNTER BUSINESS PARTNERSHIP
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2024-09-04
Last Update Date:2024-09-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223P0300XDental ProvidersDentistPeriodonticsGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA1790836971OtherJEREMY WILGUS, D.D.S.
CA1578992830OtherRICHARD HUNTER, D.D.S., M.S.D.
CA1629527593OtherJULIET CHANG, D.M.D., M.S.D.