Encino Total Dentistry | |
16260 Ventura Blvd Ste 410 Encino CA 91436-2239 | |
(818) 904-1444 | |
Not Available |
Full Name | Encino Total Dentistry |
---|---|
Speciality | Dentist - General Practice |
Location | 16260 Ventura Blvd Ste 410, Encino, California |
Authorized Official Name and Position | Leonor Pineda (INSURANCE COORDINATOR) |
Authorized Official Contact | 6614500116 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Encino Total Dentistry 15840 Ventura Blvd Ste 100 Encino CA 91436-2933 Ph: (818) 574-7450 | Encino Total Dentistry 16260 Ventura Blvd Ste 410 Encino CA 91436-2239 Ph: (818) 904-1444 |
NPI Number | 1326445883 |
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Provider Enumeration Date | 11/28/2014 |
Last Update Date | 12/16/2020 |
Identifier | Type | State | Issuer |
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1326445883 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223D0001X | Dentist - Dental Public Health | (* (Not Available)) | Secondary |
1223G0001X | Dentist - General Practice | 19385 (California) | Primary |
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