Lawrence A. Wolff, D.d.s., Inc | |
16550 Ventura Blvd Ste 209 Encino CA 91436-2004 | |
(818) 986-2994 | |
(818) 846-6197 |
Full Name | Lawrence A. Wolff, D.d.s., Inc |
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Speciality | Dentist |
Location | 16550 Ventura Blvd, Encino, California |
Authorized Official Name and Position | Lawrence A Wolff (PRESIDENT) |
Authorized Official Contact | 8189862994 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Lawrence A. Wolff, D.d.s., Inc Po Box 1429 Burbank CA 91507-1429 Ph: (818) 986-2994 | Lawrence A. Wolff, D.d.s., Inc 16550 Ventura Blvd Ste 209 Encino CA 91436-2004 Ph: (818) 986-2994 |
NPI Number | 1912395369 |
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Provider Enumeration Date | 01/07/2015 |
Last Update Date | 01/07/2015 |
Medicare PECOS PAC ID | 2163747619 |
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Medicare Enrollment ID | O20150204002390 |
Identifier | Type | State | Issuer |
---|---|---|---|
1912395369 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223S0112X | Dentist - Oral And Maxillofacial Surgery | 32235 (California) | Primary |
Provider Name | Lawrence A Wolff |
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Provider Type | Practitioner - Oral Surgery |
Provider Identifiers | NPI Number: 1740335256 PECOS PAC ID: 8325059900 Enrollment ID: I20060510000428 |
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