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11914 Ventura Blvd Studio City CA 91604 | |
| (818) 506-6600 | |
| (818) 506-8685 |
| Full Name | |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 11914 Ventura Blvd, Studio City, California |
| Authorized Official Name and Position | Marina Galstian (PRESIDENT & SECRETARY) |
| Authorized Official Contact | 8185066600 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
11914 Ventura Blvd Studio City CA 91604 Ph: (818) 506-6600 | 11914 Ventura Blvd Studio City CA 91604 Ph: (818) 506-6600 |
| NPI Number | 1780769133 |
|---|---|
| Provider Enumeration Date | 10/26/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780769133 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 45460 (California) | Primary |
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