Ramon Alfredo Brest Vico, DDS Valid NPI

Individual provider · General Practice Dentistry · Thousand Oaks, CA

NPI

1780988030

Type

Individual (Type 1)

Primary specialty

General Practice Dentistry (Dentist)

Specialty group

Dental Providers

Taxonomy code

1223G0001X

License number

60098 (CA)

Sex

Male

Sole proprietor

Yes

Enumerated

2010-12-30

Last updated

2023-12-13