| Encino Orthodontics | |
|
5363 Balboa Blvd Suite 328 Encino CA 91316-2805 | |
| (818) 784-5086 | |
| (818) 784-5518 |
| Full Name | Encino Orthodontics |
|---|---|
| Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
| Location | 5363 Balboa Blvd, Encino, California |
| Authorized Official Name and Position | Fouy Kok Chau (OWNER) |
| Authorized Official Contact | 8187845086 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Encino Orthodontics 5363 Balboa Blvd Suite 328 Encino CA 91316-2805 Ph: (818) 784-5086 | Encino Orthodontics 5363 Balboa Blvd Suite 328 Encino CA 91316-2805 Ph: (818) 784-5086 |
| NPI Number | 1538574868 |
|---|---|
| Provider Enumeration Date | 06/25/2014 |
| Last Update Date | 06/25/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1538574868 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | 59134 (California) | Primary |
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