| Heavenly Dental | |
|
321 N Maclay Ave Suite A San Fernando CA 91340 | |
| (818) 837-9744 | |
| (818) 837-9303 |
| Full Name | Heavenly Dental |
|---|---|
| Speciality | Dentist |
| Location | 321 N Maclay Ave, San Fernando, California |
| Authorized Official Name and Position | Noushin Fani (OWNER) |
| Authorized Official Contact | 8188379744 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Heavenly Dental 321 N Maclay Ave Suite A San Fernando CA 91340 Ph: (818) 837-9744 | Heavenly Dental 321 N Maclay Ave Suite A San Fernando CA 91340 Ph: (818) 837-9744 |
| NPI Number | 1790823698 |
|---|---|
| Provider Enumeration Date | 02/02/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790823698 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 39149 (California) | Primary |
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Riley Solanki Dental Partnership Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 400 N Maclay Ave, San Fernando, CA 91340 Phone: 818-361-4084 |