| Encino Dental Esthetics | |
|
17525 Ventura Blvd Ste 100 Encino CA 91316-5100 | |
| (818) 784-7832 | |
| (818) 784-4789 |
| Full Name | Encino Dental Esthetics |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 17525 Ventura Blvd Ste 100, Encino, California |
| Authorized Official Name and Position | Brandi Higa (OFFICE MANAGER) |
| Authorized Official Contact | 8187847832 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Encino Dental Esthetics 17525 Ventura Blvd Ste 100 Encino CA 91316-5100 Ph: (818) 784-7832 | Encino Dental Esthetics 17525 Ventura Blvd Ste 100 Encino CA 91316-5100 Ph: (818) 784-7832 |
| NPI Number | 1871796219 |
|---|---|
| Provider Enumeration Date | 06/05/2007 |
| Last Update Date | 12/07/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1871796219 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 47492 (California) | Primary |
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