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10930 Magnolia Blvd North Hollywood CA 91601-3903 | |
(818) 616-7817 | |
(818) 638-9608 |
Full Name | |
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Speciality | Dentist - General Practice |
Location | 10930 Magnolia Blvd, North Hollywood, California |
Authorized Official Name and Position | Karim M Zaklama (OWNER) |
Authorized Official Contact | 8186167817 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Po Box 920050 Dallas TX 75392-0050 Ph: (714) 845-8890 | 10930 Magnolia Blvd North Hollywood CA 91601-3903 Ph: (818) 616-7817 |
NPI Number | 1346917192 |
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Provider Enumeration Date | 08/27/2021 |
Last Update Date | 08/10/2023 |
Identifier | Type | State | Issuer |
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1346917192 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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