Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 122300000X | Dentist | DZ036262 | CA |
NPI | 1003099110 |
---|---|
Provider Name | Dr. Gregory Lawrence Meier |
First Address | Ventura, CA 93003-3161 |
Second Address | Ventura, CA 93003-3161 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 12/12/2007 |
Last Update Date | 12/12/2007 |