| Encino Pediatric Dental Group | |
|
16550 Ventura Blvd Ste 322 Encino CA 91436-2004 | |
| (818) 849-5457 | |
| (818) 849-5009 |
| Full Name | Encino Pediatric Dental Group |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 16550 Ventura Blvd, Encino, California |
| Authorized Official Name and Position | Joseph Curtin (PRESIDENT) |
| Authorized Official Contact | 8188495457 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Encino Pediatric Dental Group 16550 Ventura Blvd Ste 322 Encino CA 91436-2004 Ph: (818) 849-5457 | Encino Pediatric Dental Group 16550 Ventura Blvd Ste 322 Encino CA 91436-2004 Ph: (818) 849-5457 |
| NPI Number | 1144615824 |
|---|---|
| Provider Enumeration Date | 03/31/2015 |
| Last Update Date | 03/31/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144615824 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 54346 (California) | Primary |
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