| Encino Cosmetic Dental Group | |
|
16133 Ventura Blvd Suit 1100 Encino CA 91436-2403 | |
| (310) 867-0636 | |
| Not Available |
| Full Name | Encino Cosmetic Dental Group |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 16133 Ventura Blvd, Encino, California |
| Authorized Official Name and Position | Matt Zarinnia (CEO) |
| Authorized Official Contact | 3108670636 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Encino Cosmetic Dental Group 16133 Ventura Blvd Suit 1100 Encino CA 91436-2403 Ph: (310) 867-0636 | Encino Cosmetic Dental Group 16133 Ventura Blvd Suit 1100 Encino CA 91436-2403 Ph: (310) 867-0636 |
| NPI Number | 1518130616 |
|---|---|
| Provider Enumeration Date | 04/09/2008 |
| Last Update Date | 04/09/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518130616 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 55400 (California) | Primary |
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