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15534 Devonshire St Unit 108 Mission Hills CA 91345-2673 | |
(818) 830-4100 | |
(818) 830-8100 |
Full Name | |
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Speciality | Dentist |
Location | 15534 Devonshire St Unit 108, Mission Hills, California |
Authorized Official Name and Position | Remond Nowry (OWNER) |
Authorized Official Contact | 8188304100 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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15534 Devonshire St Unit 108 Mission Hills CA 91345-2673 Ph: (818) 830-4100 | 15534 Devonshire St Unit 108 Mission Hills CA 91345-2673 Ph: (818) 830-4100 |
NPI Number | 1740684869 |
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Provider Enumeration Date | 10/17/2014 |
Last Update Date | 10/17/2014 |
Identifier | Type | State | Issuer |
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1740684869 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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122300000X | Dentist | 39192 (California) | Primary |
Lawrence S. Trudgeon Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 10550 Sepulveda Blvd, Suite 115, Mission Hills, CA 91345 Phone: 818-365-6339 Fax: 818-361-6684 | |
Phillip E Peck Dds Inc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 10550 Sepulveda Blvd, Suite 115, Mission Hills, CA 91345 Phone: 818-361-8669 Fax: 818-361-6684 | |