| Dr. Jeannie Ann Molato D.m.d. | |
|
7133 Sepulveda Blvd. Van Nuys CA 91405 | |
| (818) 988-8184 | |
| (818) 988-8727 |
| Full Name | Dr. Jeannie Ann Molato D.m.d. |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 7133 Sepulveda Blvd., Van Nuys, California |
| Authorized Official Name and Position | Jeannie Ann Molato (OWNER/DENTIST) |
| Authorized Official Contact | 8189888184 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dr. Jeannie Ann Molato D.m.d. 7133 Sepulveda Blvd. Van Nuys CA 91405 Ph: (818) 988-8184 | Dr. Jeannie Ann Molato D.m.d. 7133 Sepulveda Blvd. Van Nuys CA 91405 Ph: (818) 988-8184 |
| NPI Number | 1184801789 |
|---|---|
| Provider Enumeration Date | 01/25/2008 |
| Last Update Date | 03/07/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184801789 | NPI | - | NPPES |
| 44948 | Other | CA | DENTAL LICENSE |
| B44948-O1 | Other | CA | DENTI-CAL |
| 319275608 | Other | CA | ADA # |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 48054 (California) | Secondary |
| 261QD0000X | Clinic/center - Dental | 44948 (California) | Primary |
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