| Jonathan Greenburg, Dds, Inc | |
|
5400 Balboa Blvd Ste 120 Encino CA 91316-5200 | |
| (818) 205-1122 | |
| (818) 386-8963 |
| Full Name | Jonathan Greenburg, Dds, Inc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 5400 Balboa Blvd Ste 120, Encino, California |
| Authorized Official Name and Position | Jonathan Gil Greenburg (PRESIDENT) |
| Authorized Official Contact | 8182051122 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Jonathan Greenburg, Dds, Inc 24981 Palmilla Dr Calabasas CA 91302-3053 Ph: (818) 205-1122 | Jonathan Greenburg, Dds, Inc 5400 Balboa Blvd Ste 120 Encino CA 91316-5200 Ph: (818) 205-1122 |
| NPI Number | 1306066956 |
|---|---|
| Provider Enumeration Date | 04/26/2007 |
| Last Update Date | 10/31/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306066956 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 30452 (California) | Primary |
| 332B00000X | Durable Medical Equipment & Medical Supplies | 30452 (California) | Secondary |
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