Provider Demographics
NPI:1174938922
Name:SANTA BARBARA-VENTURA COUNTIES DENTAL CARE FOUNDATION
Entity type:Organization
Organization Name:SANTA BARBARA-VENTURA COUNTIES DENTAL CARE FOUNDATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:BETTY
Authorized Official - Middle Name:
Authorized Official - Last Name:LAYNE
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:805-643-3762
Mailing Address - Street 1:1607 E THOMPSON BLVD
Mailing Address - Street 2:
Mailing Address - City:VENTURA
Mailing Address - State:CA
Mailing Address - Zip Code:93001-3328
Mailing Address - Country:US
Mailing Address - Phone:805-643-3762
Mailing Address - Fax:805-648-5154
Practice Address - Street 1:1607 E THOMPSON BLVD
Practice Address - Street 2:
Practice Address - City:VENTURA
Practice Address - State:CA
Practice Address - Zip Code:93001-3328
Practice Address - Country:US
Practice Address - Phone:805-643-3762
Practice Address - Fax:805-648-5154
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-06-30
Last Update Date:2014-06-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251V00000XAgenciesVoluntary or Charitable