| Dental Specialty Service | |
|
6320 Canoga Ave Ste 1500 Woodland Hills CA 91367-2563 | |
| (800) 768-4879 | |
| Not Available |
| Full Name | Dental Specialty Service |
|---|---|
| Speciality | Dentist - Endodontics |
| Location | 6320 Canoga Ave Ste 1500, Woodland Hills, California |
| Authorized Official Name and Position | Yan Wang (OWNER) |
| Authorized Official Contact | 8007684879 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dental Specialty Service Po Box 4571 Valley Village CA 91617-0571 Ph: () - | Dental Specialty Service 6320 Canoga Ave Ste 1500 Woodland Hills CA 91367-2563 Ph: (800) 768-4879 |
| NPI Number | 1750588018 |
|---|---|
| Provider Enumeration Date | 06/29/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1750588018 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223E0200X | Dentist - Endodontics | 17984 (California) | Primary |
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