| Dental Center Of San Miguel | |
|
8781 Van Nuys Blvd 2nd Flr. Panorama City CA 91402-2401 | |
| (818) 892-2649 | |
| Not Available |
| Full Name | Dental Center Of San Miguel |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 8781 Van Nuys Blvd, Panorama City, California |
| Authorized Official Name and Position | Frederick Edwin Stuart (PROVIDER/OWNER) |
| Authorized Official Contact | 8188922649 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dental Center Of San Miguel 8781 Van Nuys Blvd 2nd Flr. Panorama City CA 91402-2401 Ph: (818) 892-2649 | Dental Center Of San Miguel 8781 Van Nuys Blvd 2nd Flr. Panorama City CA 91402-2401 Ph: (818) 892-2649 |
| NPI Number | 1093145237 |
|---|---|
| Provider Enumeration Date | 11/26/2013 |
| Last Update Date | 11/26/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093145237 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 24875 (California) | Primary |
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