Dinasty Dental | |
7942 Van Nuys Blvd Van Nuys CA 91402-6084 | |
(818) 904-0057 | |
(818) 904-6730 |
Full Name | Dinasty Dental |
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Speciality | Dentist |
Location | 7942 Van Nuys Blvd, Van Nuys, California |
Authorized Official Name and Position | Leonid Glosman (OWNER) |
Authorized Official Contact | 3232661000 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Dinasty Dental 7942 Van Nuys Blvd Van Nuys CA 91402-6084 Ph: (818) 904-0057 | Dinasty Dental 7942 Van Nuys Blvd Van Nuys CA 91402-6084 Ph: (818) 904-0057 |
NPI Number | 1275733925 |
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Provider Enumeration Date | 07/20/2007 |
Last Update Date | 07/20/2007 |
Identifier | Type | State | Issuer |
---|---|---|---|
1275733925 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
122300000X | Dentist | B26405 (California) | Primary |
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