| Express Dental | |
|
4910 Van Nuys Blvd Ste 204 Sherman Oaks CA 91403-1761 | |
| (805) 707-0770 | |
| Not Available |
| Full Name | Express Dental |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 4910 Van Nuys Blvd Ste 204, Sherman Oaks, California |
| Authorized Official Name and Position | Tatsiana Zhamoitsina (PRESIDENT) |
| Authorized Official Contact | 3236952174 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Express Dental 4910 Van Nuys Blvd Ste 204 Sherman Oaks CA 91403-1761 Ph: (323) 695-2174 | Express Dental 4910 Van Nuys Blvd Ste 204 Sherman Oaks CA 91403-1761 Ph: (805) 707-0770 |
| NPI Number | 1962224279 |
|---|---|
| Provider Enumeration Date | 10/28/2024 |
| Last Update Date | 10/30/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962224279 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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