| Latin Dental Group | |
|
8111 Van Nuys Blvd Number 107 Panorama City CA 91402-4862 | |
| (818) 994-6080 | |
| Not Available |
| Full Name | Latin Dental Group |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 8111 Van Nuys Blvd, Panorama City, California |
| Authorized Official Name and Position | Steven D Young (OWNER) |
| Authorized Official Contact | 8189946080 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Latin Dental Group 8111 Van Nuys Blvd Number 107 Panorama City CA 91402-4862 Ph: (818) 994-6080 | Latin Dental Group 8111 Van Nuys Blvd Number 107 Panorama City CA 91402-4862 Ph: (818) 994-6080 |
| NPI Number | 1457674616 |
|---|---|
| Provider Enumeration Date | 03/02/2010 |
| Last Update Date | 03/02/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457674616 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 17806 (California) | Primary |
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