| |
6512 Laurel Canyon Blvd North Hollywood CA 91606-1521 | |
(818) 623-9000 | |
(818) 623-9007 |
Full Name | |
---|---|
Speciality | Dentist |
Location | 6512 Laurel Canyon Blvd, North Hollywood, California |
Authorized Official Name and Position | Nina Moghaddam Gray (PRESIDENT) |
Authorized Official Contact | 8188812333 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
6512 Laurel Canyon Blvd North Hollywood CA 91606-1521 Ph: (818) 623-9000 | 6512 Laurel Canyon Blvd North Hollywood CA 91606-1521 Ph: (818) 623-9000 |
NPI Number | 1770623985 |
---|---|
Provider Enumeration Date | 02/07/2007 |
Last Update Date | 08/22/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1770623985 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
122300000X | Dentist | 48513 (California) | Primary |
Altus Dental Care, Dizon Dental Group Inc. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 11509 Burbank Blvd, North Hollywood, CA 91601 Phone: 818-753-4800 | |
Galina Stolyar Dds Professional Dental Corporation Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 11755 Victory Blvd Ste 101, North Hollywood, CA 91606 Phone: 818-761-0010 Fax: 818-761-0012 | |
Arlene Aranes Zapanta Dmd Inc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 8001 Laurel Canyon Blvd, Suite 104, North Hollywood, CA 91605 Phone: 818-767-5782 Fax: 818-504-1959 |