Hirano Kanuga Dental Group | |
18580 Via Princessa Ste 3 Canyon Country CA 91387-8329 | |
(661) 388-0499 | |
Not Available |
Full Name | Hirano Kanuga Dental Group |
---|---|
Speciality | Dentist - Pediatric Dentistry |
Location | 18580 Via Princessa Ste 3, Canyon Country, California |
Authorized Official Name and Position | Shukan Kanuga (PARTNER) |
Authorized Official Contact | 3104635027 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Hirano Kanuga Dental Group 18580 Via Princessa Ste 3 Canyon Country CA 91387-8329 Ph: (661) 388-0499 | Hirano Kanuga Dental Group 18580 Via Princessa Ste 3 Canyon Country CA 91387-8329 Ph: (661) 388-0499 |
NPI Number | 1255829370 |
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Provider Enumeration Date | 04/24/2018 |
Last Update Date | 04/24/2018 |
Identifier | Type | State | Issuer |
---|---|---|---|
1255829370 | NPI | - | NPPES |
1790975597 | Medicaid | CA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223P0221X | Dentist - Pediatric Dentistry | 57764 (California) | Primary |
1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | (* (Not Available)) | Secondary |
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