Provider Demographics
NPI:1215063490
Name:GORINSTEIN, JANNA (DDS)
Entity type:Individual
Prefix:
First Name:JANNA
Middle Name:
Last Name:GORINSTEIN
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2438 N PONDEROSA DR STE C217
Mailing Address - Street 2:
Mailing Address - City:CAMARILLO
Mailing Address - State:CA
Mailing Address - Zip Code:93010-2467
Mailing Address - Country:US
Mailing Address - Phone:818-970-3344
Mailing Address - Fax:
Practice Address - Street 1:2438 N PONDEROSA DR STE C217
Practice Address - Street 2:
Practice Address - City:CAMARILLO
Practice Address - State:CA
Practice Address - Zip Code:93010-2467
Practice Address - Country:US
Practice Address - Phone:818-970-3344
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-24
Last Update Date:2021-09-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA509161223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice