| Katherine Grace Ogtong, Dds, Inc. | |
|
20200 Saticoy St Suite E Winnetka CA 91306-4464 | |
| (818) 775-9994 | |
| (818) 775-9696 |
| Full Name | Katherine Grace Ogtong, Dds, Inc. |
|---|---|
| Speciality | Dentist |
| Location | 20200 Saticoy St, Winnetka, California |
| Authorized Official Name and Position | Katherine Grace Ogtong (PRESIDENT) |
| Authorized Official Contact | 8187759994 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Katherine Grace Ogtong, Dds, Inc. 20200 Saticoy St Suite E Winnetka CA 91306-4464 Ph: (818) 775-9994 | Katherine Grace Ogtong, Dds, Inc. 20200 Saticoy St Suite E Winnetka CA 91306-4464 Ph: (818) 775-9994 |
| NPI Number | 1174660864 |
|---|---|
| Provider Enumeration Date | 01/31/2007 |
| Last Update Date | 08/21/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174660864 | NPI | - | NPPES |
| D48975 | Other | CA | CALIFORNIA DENTAL LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | D48975 (California) | Primary |
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