| Cosmetic Implant Gold Dental Center | |
|
10745 Riverside Drive Suite B Toluca Lake CA 91602 | |
| (818) 980-2887 | |
| (818) 980-2807 |
| Full Name | Cosmetic Implant Gold Dental Center |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 10745 Riverside Drive, Toluca Lake, California |
| Authorized Official Name and Position | Esteban D Bonilla (DENTIST / OWNER) |
| Authorized Official Contact | 8189802887 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Cosmetic Implant Gold Dental Center 10745 Riverside Drive Suite B Toluca Lake CA 91602 Ph: (818) 980-2887 | Cosmetic Implant Gold Dental Center 10745 Riverside Drive Suite B Toluca Lake CA 91602 Ph: (818) 980-2887 |
| NPI Number | 1356541361 |
|---|---|
| Provider Enumeration Date | 07/19/2007 |
| Last Update Date | 07/19/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356541361 | NPI | - | NPPES |
| B36135 | Other | CA | MEDI-CAL PIN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 36135 (California) | Primary |
Tina Ghotanian Dds Pc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 10916 Riverside Dr, Toluca Lake, CA 91602 Phone: 818-762-9966 | |
Toluca Dental Care Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 10668 Riverside Dr, Toluca Lake, CA 91602 Phone: 818-760-9912 Fax: 818-760-9913 | |
Greenburg Dental Group, Pc. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 4418 Vineland Ave Ste 112, Toluca Lake, CA 91602 Phone: 818-578-3500 Fax: 818-796-3322 | |
Arthur W Weiss Dds A Professional Corporation Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 10553 Riverside Dr, Toluca Lake, CA 91602 Phone: 818-762-0694 Fax: 818-762-0661 | |
Lawernce S Toomin & Mark R Bieber Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 3808 Riverside Dr #408, 3808 Riverside Dr #408, Toluca Lake, CA 91505 Phone: 818-842-3932 Fax: 818-842-3932 | |
Toluca Lake Cosmetic Dentsity Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 10724 Riverside Dr, Suite A, Toluca Lake, CA 91602 Phone: 818-985-5777 |