| Edmundo Ayala, D.d.s A Dental Corporation | |
|
20109 Sherman Way Winnetka CA 91306-3206 | |
| (818) 993-4284 | |
| (818) 993-4265 |
| Full Name | Edmundo Ayala, D.d.s A Dental Corporation |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 20109 Sherman Way, Winnetka, California |
| Authorized Official Name and Position | Edmundo Jose Ayala (CEO) |
| Authorized Official Contact | 8189934284 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Edmundo Ayala, D.d.s A Dental Corporation 20109 Sherman Way Winnetka CA 91306-3206 Ph: (818) 993-4284 | Edmundo Ayala, D.d.s A Dental Corporation 20109 Sherman Way Winnetka CA 91306-3206 Ph: (818) 993-4284 |
| NPI Number | 1346435666 |
|---|---|
| Provider Enumeration Date | 09/10/2007 |
| Last Update Date | 09/10/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1346435666 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 50205 (California) | Primary |
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