| D.emanuel,d.m.d.,inc | |
|
14535 Hamlin St Van Nuys CA 91411 | |
| (818) 787-1607 | |
| (818) 787-1643 |
| Full Name | D.emanuel,d.m.d.,inc |
|---|---|
| Speciality | Dentist |
| Location | 14535 Hamlin St, Van Nuys, California |
| Authorized Official Name and Position | Donny A Emanuel (PRESIDENT) |
| Authorized Official Contact | 8184568104 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| D.emanuel,d.m.d.,inc 14535 Hamlin St Van Nuys CA 91411 Ph: (818) 787-1607 | D.emanuel,d.m.d.,inc 14535 Hamlin St Van Nuys CA 91411 Ph: (818) 787-1607 |
| NPI Number | 1093150906 |
|---|---|
| Provider Enumeration Date | 05/06/2013 |
| Last Update Date | 12/21/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093150906 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 52721 (California) | Primary |
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