| Gerald M. Kirshbaum, Dds, Inc. | |
|
5400 Balboa Blvd Suite 308 Encino CA 91316-1502 | |
| (818) 788-8840 | |
| (818) 986-5502 |
| Full Name | Gerald M. Kirshbaum, Dds, Inc. |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 5400 Balboa Blvd, Encino, California |
| Authorized Official Name and Position | Gerald M Kirshbaum (PRESIDENT) |
| Authorized Official Contact | 8187888840 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Gerald M. Kirshbaum, Dds, Inc. 5400 Balboa Blvd Suite 308 Encino CA 91316-1502 Ph: (818) 788-8840 | Gerald M. Kirshbaum, Dds, Inc. 5400 Balboa Blvd Suite 308 Encino CA 91316-1502 Ph: (818) 788-8840 |
| NPI Number | 1679794028 |
|---|---|
| Provider Enumeration Date | 05/02/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679794028 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | 17110 (California) | Primary |
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