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15300 Devonshire St Ste 6 Mission Hills CA 91345-2758 | |
(818) 894-6411 | |
Not Available |
Full Name | |
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Speciality | Dentist |
Location | 15300 Devonshire St Ste 6, Mission Hills, California |
Authorized Official Name and Position | Kaveh Kohanof (OWNER) |
Authorized Official Contact | 8186057917 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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15300 Devonshire St Ste 6 Mission Hills CA 91345-2758 Ph: (818) 894-6411 | 15300 Devonshire St Ste 6 Mission Hills CA 91345-2758 Ph: (818) 894-6411 |
NPI Number | 1265845564 |
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Provider Enumeration Date | 06/04/2014 |
Last Update Date | 06/04/2014 |
Identifier | Type | State | Issuer |
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1265845564 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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122300000X | Dentist | 59573 (California) | Primary |
Lawrence S. Trudgeon Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 10550 Sepulveda Blvd, Suite 115, Mission Hills, CA 91345 Phone: 818-365-6339 Fax: 818-361-6684 | |
Phillip E Peck Dds Inc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 10550 Sepulveda Blvd, Suite 115, Mission Hills, CA 91345 Phone: 818-361-8669 Fax: 818-361-6684 | |