| Ephram Dental Corp | |
|
12156 Riverside Dr Valley Village CA 91607-3829 | |
| (818) 509-3055 | |
| (818) 763-6159 |
| Full Name | Ephram Dental Corp |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 12156 Riverside Dr, Valley Village, California |
| Authorized Official Name and Position | Darien Ephram (OWNER) |
| Authorized Official Contact | 8185093055 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ephram Dental Corp 12156 Riverside Dr Valley Village CA 91607-3829 Ph: (818) 509-3055 | Ephram Dental Corp 12156 Riverside Dr Valley Village CA 91607-3829 Ph: (818) 509-3055 |
| NPI Number | 1538872015 |
|---|---|
| Provider Enumeration Date | 12/29/2022 |
| Last Update Date | 12/29/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1538872015 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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