| Brennan Hughes D.m.d Apc | |
|
14526 Roscoe Blvd Panorama City CA 91402-4176 | |
| (818) 893-7858 | |
| (818) 893-6803 |
| Full Name | Brennan Hughes D.m.d Apc |
|---|---|
| Speciality | Dentist - Oral And Maxillofacial Surgery |
| Location | 14526 Roscoe Blvd, Panorama City, California |
| Authorized Official Name and Position | Brennan L. Hughes (PRESIDENT) |
| Authorized Official Contact | 8188937858 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Brennan Hughes D.m.d Apc 14526 Roscoe Blvd Panorama City CA 91402-4176 Ph: (818) 893-7858 | Brennan Hughes D.m.d Apc 14526 Roscoe Blvd Panorama City CA 91402-4176 Ph: (818) 893-7858 |
| NPI Number | 1891914495 |
|---|---|
| Provider Enumeration Date | 04/24/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1891914495 | NPI | - | NPPES |
| G91266-01 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | 39280 (Florida) | Primary |
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