| Mk Raymond Dental Corporation Pc | |
|
20523 Devonshire St Chatsworth CA 91311-3208 | |
| (818) 773-0911 | |
| (818) 773-9720 |
| Full Name | Mk Raymond Dental Corporation Pc |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 20523 Devonshire St, Chatsworth, California |
| Authorized Official Name and Position | M Kyle Raymond (OWNER) |
| Authorized Official Contact | 5124262885 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mk Raymond Dental Corporation Pc 20523 Devonshire St Chatsworth CA 91311-3208 Ph: (818) 773-0911 | Mk Raymond Dental Corporation Pc 20523 Devonshire St Chatsworth CA 91311-3208 Ph: (818) 773-0911 |
| NPI Number | 1184219909 |
|---|---|
| Provider Enumeration Date | 03/03/2021 |
| Last Update Date | 03/03/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184219909 | NPI | - | NPPES |
| 105526 | Other | CA | DENTAL BOARD OF CALIFORNIA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | (* (Not Available)) | Primary |
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