| Jelini Dental Corporation | |
|
21632 Sherman Way Canoga Park CA 91303-1538 | |
| (818) 999-6979 | |
| (818) 999-5009 |
| Full Name | Jelini Dental Corporation |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 21632 Sherman Way, Canoga Park, California |
| Authorized Official Name and Position | Fatima Bala Jelini (CEO) |
| Authorized Official Contact | 8189996979 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Jelini Dental Corporation 21632 Sherman Way Canoga Park CA 91303-1538 Ph: (818) 999-6979 | Jelini Dental Corporation 21632 Sherman Way Canoga Park CA 91303-1538 Ph: (818) 999-6979 |
| NPI Number | 1598409245 |
|---|---|
| Provider Enumeration Date | 04/27/2022 |
| Last Update Date | 07/21/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598409245 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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