| Macy Pour Dds Inc | |
|
5658 Sepulveda Blvd Ste 204 Sherman Oaks CA 91411-2927 | |
| (818) 988-9959 | |
| Not Available |
| Full Name | Macy Pour Dds Inc |
|---|---|
| Speciality | Dentist |
| Location | 5658 Sepulveda Blvd Ste 204, Sherman Oaks, California |
| Authorized Official Name and Position | Macy Pour (DENTIST) |
| Authorized Official Contact | 3109068972 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Macy Pour Dds Inc 11767 W Sunset Blvd Apt 104 Los Angeles CA 90049-2991 Ph: (310) 906-8972 | Macy Pour Dds Inc 5658 Sepulveda Blvd Ste 204 Sherman Oaks CA 91411-2927 Ph: (818) 988-9959 |
| NPI Number | 1538850680 |
|---|---|
| Provider Enumeration Date | 05/18/2023 |
| Last Update Date | 05/18/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1538850680 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | Primary |
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