Marina Dental Center | |
13155 Mindanao Way Marina Del Rey CA 90292-6307 | |
(310) 821-2611 | |
Not Available |
Full Name | Marina Dental Center |
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Speciality | Dentist - General Practice |
Location | 13155 Mindanao Way, Marina Del Rey, California |
Authorized Official Name and Position | William Ginzburg (OWNER) |
Authorized Official Contact | 3108212611 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Marina Dental Center 13155 Mindanao Way Marina Del Rey CA 90292-6307 Ph: (310) 821-2611 | Marina Dental Center 13155 Mindanao Way Marina Del Rey CA 90292-6307 Ph: (310) 821-2611 |
NPI Number | 1235349911 |
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Provider Enumeration Date | 05/23/2007 |
Last Update Date | 08/22/2020 |
Identifier | Type | State | Issuer |
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1235349911 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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1223G0001X | Dentist - General Practice | 40241 (California) | Primary |
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Marina Dental Center Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 13155 Mindanao Way, Marina Del Rey, CA 90292 Phone: 310-821-2611 |