| Dental Studio | |
|
12120 Saticoy St Ste. C North Hollywood CA 91605-3055 | |
| (818) 255-2244 | |
| (818) 255-2223 |
| Full Name | Dental Studio |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 12120 Saticoy St, North Hollywood, California |
| Authorized Official Name and Position | Jacqueline V Lopez (DENTIST) |
| Authorized Official Contact | 8182552244 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dental Studio 12120 Saticoy St Ste. C North Hollywood CA 91605-3055 Ph: (818) 255-2244 | Dental Studio 12120 Saticoy St Ste. C North Hollywood CA 91605-3055 Ph: (818) 255-2244 |
| NPI Number | 1649674581 |
|---|---|
| Provider Enumeration Date | 10/21/2014 |
| Last Update Date | 10/21/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649674581 | NPI | - | NPPES |
| 210745 | Other | CA | ACCESS DENTAL ID |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 62003 (California) | Primary |
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