| 101 Dental Group | |
|
7259 Owensmouth Ave Canoga Park CA 91303-1530 | |
| (818) 999-9900 | |
| (818) 999-9978 |
| Full Name | 101 Dental Group |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 7259 Owensmouth Ave, Canoga Park, California |
| Authorized Official Name and Position | Amir H Choroomi (DENTIST) |
| Authorized Official Contact | 8187353800 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| 101 Dental Group 7259 Owensmouth Ave Canoga Park CA 91303-1530 Ph: (818) 999-9900 | 101 Dental Group 7259 Owensmouth Ave Canoga Park CA 91303-1530 Ph: (818) 999-9900 |
| NPI Number | 1760813802 |
|---|---|
| Provider Enumeration Date | 11/27/2013 |
| Last Update Date | 11/27/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1760813802 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 54634 (California) | Primary |
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