Provider Demographics
NPI:1528135977
Name:SATNICK, DAVID MARK (DMD)
Entity type:Individual
Prefix:DR
First Name:DAVID
Middle Name:MARK
Last Name:SATNICK
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:6633 TELEPHONE RD
Mailing Address - Street 2:SUITE 220
Mailing Address - City:VENTURA
Mailing Address - State:CA
Mailing Address - Zip Code:93003-5569
Mailing Address - Country:US
Mailing Address - Phone:805-639-3050
Mailing Address - Fax:805-639-5023
Practice Address - Street 1:6633 TELEPHONE RD
Practice Address - Street 2:SUITE 220
Practice Address - City:VENTURA
Practice Address - State:CA
Practice Address - Zip Code:93003-5569
Practice Address - Country:US
Practice Address - Phone:805-639-3050
Practice Address - Fax:805-639-5023
Is Sole Proprietor?:No
Enumeration Date:2006-11-29
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CA336581223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice