| Jprwigema Dental Corporation | |
|
14547 Titus Street Suite 207 Panorama City CA 91402 | |
| (818) 785-4282 | |
| (818) 785-8704 |
| Full Name | Jprwigema Dental Corporation |
|---|---|
| Speciality | Dentist |
| Location | 14547 Titus Street, Panorama City, California |
| Authorized Official Name and Position | Jean Pierre Rwigema (CEO) |
| Authorized Official Contact | 8187854282 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Jprwigema Dental Corporation 14547 Titus Street Suite 207 Panorama City CA 91402 Ph: (818) 785-4282 | Jprwigema Dental Corporation 14547 Titus Street Suite 207 Panorama City CA 91402 Ph: (818) 785-4282 |
| NPI Number | 1255192209 |
|---|---|
| Provider Enumeration Date | 01/17/2024 |
| Last Update Date | 01/17/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255192209 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | Primary |
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