| Media Center Dental | |
|
2901 W Olive Ave Burbank CA 91505-4536 | |
| (818) 563-9888 | |
| (818) 563-2888 |
| Full Name | Media Center Dental |
|---|---|
| Speciality | Dentist |
| Location | 2901 W Olive Ave, Burbank, California |
| Authorized Official Name and Position | Nancy Lee (OWNER) |
| Authorized Official Contact | 8185639888 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Media Center Dental 2901 W Olive Ave Burbank CA 91505-4536 Ph: (818) 563-9888 | Media Center Dental 2901 W Olive Ave Burbank CA 91505-4536 Ph: (818) 563-9888 |
| NPI Number | 1356462584 |
|---|---|
| Provider Enumeration Date | 04/03/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356462584 | NPI | - | NPPES |
| 32241 | Other | CA | DENTAL LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 32241 (California) | Primary |
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