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6700 Laurel Canyon Blvd Suite 3 North Hollywood CA 91606 | |
(818) 764-5333 | |
(818) 765-0887 |
Full Name | |
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Speciality | Dentist |
Location | 6700 Laurel Canyon Blvd, North Hollywood, California |
Authorized Official Name and Position | Barnard Gowichi Nagai (OFFICER) |
Authorized Official Contact | 8187645333 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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6700 Laurel Canyon Blvd Suite 3 North Hollywood CA 91606 Ph: (818) 764-5333 | 6700 Laurel Canyon Blvd Suite 3 North Hollywood CA 91606 Ph: (818) 764-5333 |
NPI Number | 1013079417 |
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Provider Enumeration Date | 12/14/2006 |
Last Update Date | 08/22/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1013079417 | NPI | - | NPPES |
B3985002 | Other | CA | DENTICAL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
122300000X | Dentist | 39850 (California) | Primary |
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