| Mandalay Crest Management Group Inc | |
|
18663 Ventura Blvd #200 Tarzana CA 91356-4197 | |
| (805) 479-8706 | |
| Not Available |
| Full Name | Mandalay Crest Management Group Inc |
|---|---|
| Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
| Location | 18663 Ventura Blvd, Tarzana, California |
| Authorized Official Name and Position | Floyd Jesse Cawthon (PRESIDENT) |
| Authorized Official Contact | 8054798706 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mandalay Crest Management Group Inc 4924 Balboa Blvd #223 Encino CA 91316-3402 Ph: (805) 479-8706 | Mandalay Crest Management Group Inc 18663 Ventura Blvd #200 Tarzana CA 91356-4197 Ph: (805) 479-8706 |
| NPI Number | 1992028575 |
|---|---|
| Provider Enumeration Date | 03/10/2010 |
| Last Update Date | 07/19/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1992028575 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | 32043 (California) | Primary |
Southern California Center For Oral & Facial Surgery Dental Clinic Medicare: Medicare Enrolled Practice Location: 18372 Clark St, Suite 224, Tarzana, CA 91356 Phone: 818-996-1200 Fax: 818-996-1325 | |
Nooshi Akavan Dds, Ms Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 18919 Ventura Blvd, Suite B, Tarzana, CA 91356 Phone: 818-345-9601 Fax: 818-757-8901 | |
Marshall R. Lapin D.d.s. Inc. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 18399 Ventura Blvd., Suite 243, Tarzana, CA 91356 Phone: 818-345-1424 Fax: 818-345-1424 | |
Fara Salehi Dds A Professional Corporation Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 18740 Ventura Blvd, Ste 105, Tarzana, CA 91356 Phone: 818-342-2000 Fax: 818-708-8000 | |
Karla Thompson, Dds, Inc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 18981 Ventura Blvd Ste 200, Tarzana, CA 91356 Phone: 818-654-7100 Fax: 818-654-7087 | |
Gottschalk And Lee Dental Corp. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 5620 Wilbur Ave. Suite 319, Tarzana, CA 91356 Phone: 818-344-4210 Fax: 818-344-4093 | |
Cute Smile Dental Clinic Medicare: Medicare Enrolled Practice Location: 18740 Ventura Blvd Ste 108, Tarzana, CA 91356 Phone: 818-776-1236 |