| |
10306 Sepulveda Blvd Mission Hills CA 91345-2422 | |
(818) 722-1576 | |
(818) 459-4609 |
Full Name | |
---|---|
Speciality | Dentist |
Location | 10306 Sepulveda Blvd, Mission Hills, California |
Authorized Official Name and Position | Tamim Sediq (OWNER) |
Authorized Official Contact | 8187221576 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Po Box 920050 Dallas TX 75392-0050 Ph: (714) 845-8500 | 10306 Sepulveda Blvd Mission Hills CA 91345-2422 Ph: (818) 722-1576 |
NPI Number | 1336607696 |
---|---|
Provider Enumeration Date | 03/06/2019 |
Last Update Date | 05/11/2022 |
Identifier | Type | State | Issuer |
---|---|---|---|
1336607696 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
122300000X | Dentist | (* (Not Available)) | Primary |
Lawrence S. Trudgeon Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 10550 Sepulveda Blvd, Suite 115, Mission Hills, CA 91345 Phone: 818-365-6339 Fax: 818-361-6684 | |
Phillip E Peck Dds Inc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 10550 Sepulveda Blvd, Suite 115, Mission Hills, CA 91345 Phone: 818-361-8669 Fax: 818-361-6684 | |