Mona Derentz D.d.s., Inc | |
19100 Ventura Blvd Ste 3 Tarzana CA 91356-3234 | |
(818) 925-2599 | |
Not Available |
Full Name | Mona Derentz D.d.s., Inc |
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Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
Location | 19100 Ventura Blvd Ste 3, Tarzana, California |
Authorized Official Name and Position | Mona Derentz (OWNER, ORTHODONTIST) |
Authorized Official Contact | 8056304541 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Mona Derentz D.d.s., Inc 19100 Ventura Blvd Ste 3 Tarzana CA 91356-3234 Ph: (818) 925-2599 | Mona Derentz D.d.s., Inc 19100 Ventura Blvd Ste 3 Tarzana CA 91356-3234 Ph: (818) 925-2599 |
NPI Number | 1508528142 |
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Provider Enumeration Date | 10/11/2021 |
Last Update Date | 10/11/2021 |
Identifier | Type | State | Issuer |
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1508528142 | NPI | - | NPPES |
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