| Clove Dental Encino | |
|
16542 Ventura Blvd Ste 505 Encino CA 91436-4576 | |
| (818) 907-6736 | |
| Not Available |
| Full Name | Clove Dental Encino |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 16542 Ventura Blvd Ste 505, Encino, California |
| Authorized Official Name and Position | Anish Puri (OWNER) |
| Authorized Official Contact | 8052291252 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Clove Dental Encino 1091 Corte Barroso Camarillo CA 93010-7438 Ph: (805) 229-1252 | Clove Dental Encino 16542 Ventura Blvd Ste 505 Encino CA 91436-4576 Ph: (818) 907-6736 |
| NPI Number | 1457172918 |
|---|---|
| Provider Enumeration Date | 10/17/2024 |
| Last Update Date | 10/17/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457172918 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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