Kids Dental Place | |
14424 Victory Blvd Van Nuys CA 91401-1439 | |
(818) 908-9800 | |
Not Available |
Full Name | Kids Dental Place |
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Speciality | Dentist - General Practice |
Location | 14424 Victory Blvd, Van Nuys, California |
Authorized Official Name and Position | Shaun Urbanozo (CREDENTIALING MANAGER) |
Authorized Official Contact | 7193232362 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Kids Dental Place 2221 E Bijou St Ste 100 Colorado Springs CO 80909-8009 Ph: (818) 908-9800 | Kids Dental Place 14424 Victory Blvd Van Nuys CA 91401-1439 Ph: (818) 908-9800 |
NPI Number | 1528250990 |
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Provider Enumeration Date | 08/09/2007 |
Last Update Date | 07/03/2023 |
Identifier | Type | State | Issuer |
---|---|---|---|
1528250990 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223G0001X | Dentist - General Practice | 51044 (California) | Primary |
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