| A Professional Corporation | |
|
25061 N Peachland Ave Newhall CA 91321 | |
| (661) 255-7530 | |
| (661) 254-4798 |
| Full Name | A Professional Corporation |
|---|---|
| Speciality | Dentist |
| Location | 25061 N Peachland Ave, Newhall, California |
| Authorized Official Name and Position | Marvin A Sagerman (OWNER) |
| Authorized Official Contact | 6612557530 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| A Professional Corporation 25061 N Peachland Ave Newhall CA 91321 Ph: (661) 255-7530 | A Professional Corporation 25061 N Peachland Ave Newhall CA 91321 Ph: (661) 255-7530 |
| NPI Number | 1609982461 |
|---|---|
| Provider Enumeration Date | 08/22/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609982461 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 19156 (California) | Primary |
| 122300000X | Dentist | 19157 (California) | Secondary |
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