Dentistry For Children & Adults | |
16260 Ventura Blvd Suite 410 Encino CA 91436-2203 | |
(818) 904-1444 | |
(818) 904-1446 |
Full Name | Dentistry For Children & Adults |
---|---|
Speciality | Dentist - General Practice |
Location | 16260 Ventura Blvd, Encino, California |
Authorized Official Name and Position | Shay S Salehrabi (PRESIDENT) |
Authorized Official Contact | 8189041444 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Dentistry For Children & Adults Po Box 7917 Van Nuys CA 91409 Ph: (818) 904-1444 | Dentistry For Children & Adults 16260 Ventura Blvd Suite 410 Encino CA 91436-2203 Ph: (818) 904-1444 |
NPI Number | 1437234234 |
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Provider Enumeration Date | 10/27/2006 |
Last Update Date | 10/07/2011 |
Identifier | Type | State | Issuer |
---|---|---|---|
1437234234 | NPI | - | NPPES |
B40982 | Medicaid | CA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223G0001X | Dentist - General Practice | 40982 (California) | Primary |
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