|
| |
|
11239 Tampa Ave Suite 208 Northridge CA 91326-1615 | |
| (818) 368-6277 | |
| (818) 366-2491 |
| Full Name | |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 11239 Tampa Ave, Northridge, California |
| Authorized Official Name and Position | Charlotte Elizabeth Roberson (PRESIDENT) |
| Authorized Official Contact | 8183686266 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
11239 Tampa Ave Suite 208 Northridge CA 91326-1615 Ph: (818) 368-6277 | 11239 Tampa Ave Suite 208 Northridge CA 91326-1615 Ph: (818) 368-6277 |
| NPI Number | 1316170210 |
|---|---|
| Provider Enumeration Date | 08/26/2009 |
| Last Update Date | 08/26/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316170210 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 29997 (California) | Primary |
Gentle Touch Dental Group Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 8363 Reseda Blvd, 11, Northridge, CA 91324 Phone: 818-882-0009 Fax: 818-882-0011 | |
Lee R. Logan, D.d.s., Prof. Corp. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 18250 Roscoe Blvd, Suite #315, Northridge, CA 91325 Phone: 818-885-8650 Fax: 818-885-7169 | |
Sorour D.m.d P,c Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 18450 Dearborn St, Northridge, CA 91325 Phone: 818-736-9339 | |
Arthur F. Koebel Dds A Professional Corp. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 18911 Nordhoff St, Suite 35, Northridge, CA 91324 Phone: 818-701-5126 Fax: 818-701-5279 | |
Rebecca Lee, D.d.s., A Dental Corporation Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 11200 Corbin Ave, Suite 108, Northridge, CA 91326 Phone: 818-831-8252 Fax: 818-831-8255 | |
Mindy Park Dds Inc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 8345 Reseda Blvd Ste 101, Northridge, CA 91324 Phone: 818-576-9990 |