| |
6007 Lankershim Blvd Ste 9 North Hollywood CA 91606-4883 | |
(818) 506-2977 | |
(818) 506-4610 |
Full Name | |
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Speciality | Dentist - General Practice |
Location | 6007 Lankershim Blvd Ste 9, North Hollywood, California |
Authorized Official Name and Position | Carolina Manjarrez (OFFICE MANAGER) |
Authorized Official Contact | 8185062977 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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6007 Lankershim Blvd Ste 9 North Hollywood CA 91606-4883 Ph: (818) 506-2977 | 6007 Lankershim Blvd Ste 9 North Hollywood CA 91606-4883 Ph: (818) 506-2977 |
NPI Number | 1285854018 |
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Provider Enumeration Date | 04/26/2007 |
Last Update Date | 08/22/2020 |
Identifier | Type | State | Issuer |
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1285854018 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223G0001X | Dentist - General Practice | 43604 (California) | Primary |
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