| Laurel Canyon Dental Care | |
|
6700 Laurel Canyon Blvd Suite 3 North Hollywood CA 91606 | |
| (818) 764-5333 | |
| (818) 765-0887 |
| Full Name | Laurel Canyon Dental Care |
|---|---|
| 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 |
|---|---|
| Laurel Canyon Dental Care 6700 Laurel Canyon Blvd Suite 3 North Hollywood CA 91606 Ph: (818) 764-5333 | Laurel Canyon Dental Care 6700 Laurel Canyon Blvd Suite 3 North Hollywood CA 91606 Ph: (818) 764-5333 |
| NPI Number | 1013079417 |
|---|---|
| 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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