Lawrence S. Trudgeon | |
10550 Sepulveda Blvd Suite 115 Mission Hills CA 91345-1934 | |
(818) 365-6339 | |
(818) 361-6684 |
Full Name | Lawrence S. Trudgeon |
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Speciality | Dentist - General Practice |
Location | 10550 Sepulveda Blvd, Mission Hills, California |
Authorized Official Name and Position | Lawrence S. Trudgeon (PRES) |
Authorized Official Contact | 8183656339 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Lawrence S. Trudgeon 10550 Sepulveda Blvd Suite 115 Mission Hills CA 91345-1934 Ph: (818) 365-6339 | Lawrence S. Trudgeon 10550 Sepulveda Blvd Suite 115 Mission Hills CA 91345-1934 Ph: (818) 365-6339 |
NPI Number | 1306055363 |
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Provider Enumeration Date | 05/22/2007 |
Last Update Date | 08/22/2020 |
Identifier | Type | State | Issuer |
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1306055363 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223G0001X | Dentist - General Practice | 23049 (California) | Primary |
Phillip E Peck Dds Inc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 10550 Sepulveda Blvd, Suite 115, Mission Hills, CA 91345 Phone: 818-361-8669 Fax: 818-361-6684 | |