| International Dental Estudio | |
|
5451 Laurel Canyon Blvd 102 Valley Village CA 91607-2180 | |
| (818) 761-7109 | |
| Not Available |
| Full Name | International Dental Estudio |
|---|---|
| Speciality | Dentist |
| Location | 5451 Laurel Canyon Blvd, Valley Village, California |
| Authorized Official Name and Position | Yolanda E Cortez (DENTIST PROVIDER) |
| Authorized Official Contact | 8187617109 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| International Dental Estudio 5451 Laurel Canyon Blvd 102 Valley Villege CA 91607 Ph: (818) 761-7109 | International Dental Estudio 5451 Laurel Canyon Blvd 102 Valley Village CA 91607-2180 Ph: (818) 761-7109 |
| NPI Number | 1396190443 |
|---|---|
| Provider Enumeration Date | 04/26/2016 |
| Last Update Date | 04/26/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396190443 | NPI | - | NPPES |
| 56546 | Other | CA | DENTIST |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 56546 (California) | Primary |
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