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18740 Ventura Blvd Ste 108 Tarzana CA 91356-6303 | |
| (818) 776-1236 | |
| Not Available |
| Full Name | |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 18740 Ventura Blvd Ste 108, Tarzana, California |
| Authorized Official Name and Position | Ilham Akraa (DENTIST/DR) |
| Authorized Official Contact | 8187761236 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
18740 Ventura Blvd Ste 108 Tarzana CA 91356-6303 Ph: (818) 776-1236 | 18740 Ventura Blvd Ste 108 Tarzana CA 91356-6303 Ph: (818) 776-1236 |
| NPI Number | 1114474632 |
|---|---|
| Provider Enumeration Date | 09/01/2016 |
| Last Update Date | 07/21/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114474632 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 44135 (California) | Primary |
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