| Dentists Of Studio City Dental Group | |
|
12050 Ventura Blvd Ste C101 Studio City CA 91604-2639 | |
| (818) 296-9142 | |
| (818) 296-9226 |
| Full Name | Dentists Of Studio City Dental Group |
|---|---|
| Speciality | Dentist |
| Location | 12050 Ventura Blvd Ste C101, Studio City, California |
| Authorized Official Name and Position | Trevor Thomas (OWNER DENTIST) |
| Authorized Official Contact | 8182969142 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dentists Of Studio City Dental Group Po Box 920050 Dallas TX 75392-0050 Ph: (714) 845-8890 | Dentists Of Studio City Dental Group 12050 Ventura Blvd Ste C101 Studio City CA 91604-2639 Ph: (818) 296-9142 |
| NPI Number | 1164984316 |
|---|---|
| Provider Enumeration Date | 04/04/2019 |
| Last Update Date | 05/11/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164984316 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | Primary |
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