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9501 Van Nuys Blvd Suite 115 Panorama City CA 91402-1350 | |
| (818) 893-1782 | |
| (818) 893-2778 |
| Full Name | |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 9501 Van Nuys Blvd, Panorama City, California |
| Authorized Official Name and Position | Cyrus Bagsik Callos (DENTIST) |
| Authorized Official Contact | 8188931782 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
9501 Van Nuys Blvd Panorama City CA 91402-1350 Ph: (818) 893-1782 | 9501 Van Nuys Blvd Suite 115 Panorama City CA 91402-1350 Ph: (818) 893-1782 |
| NPI Number | 1972626026 |
|---|---|
| Provider Enumeration Date | 04/06/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1972626026 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 49286 (California) | Primary |
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