| Douglas Dental Corporation | |
|
10930 Magnolia Blvd North Hollywood CA 91601-3903 | |
| (818) 616-7817 | |
| (818) 638-9608 |
| Full Name | Douglas Dental Corporation |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 10930 Magnolia Blvd, North Hollywood, California |
| Authorized Official Name and Position | Jordan Chelsey Douglas (OWNER) |
| Authorized Official Contact | 8186167817 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Douglas Dental Corporation Po Box 920050 Dallas TX 75392-0050 Ph: (714) 845-8890 | Douglas Dental Corporation 10930 Magnolia Blvd North Hollywood CA 91601-3903 Ph: (818) 616-7817 |
| NPI Number | 1598481228 |
|---|---|
| Provider Enumeration Date | 10/14/2022 |
| Last Update Date | 10/14/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598481228 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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