| Natalie Mansour Dmd Dental Corp | |
|
709 S Central Ave Suite A Glendale CA 91204-2010 | |
| (818) 500-7330 | |
| (818) 500-7340 |
| Full Name | Natalie Mansour Dmd Dental Corp |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 709 S Central Ave, Glendale, California |
| Authorized Official Name and Position | Natalie Chantal Mansour (PRESIDENT) |
| Authorized Official Contact | 3109027775 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Natalie Mansour Dmd Dental Corp 615 Clinton Pl Beverly Hills CA 90210-1917 Ph: (310) 902-7775 | Natalie Mansour Dmd Dental Corp 709 S Central Ave Suite A Glendale CA 91204-2010 Ph: (818) 500-7330 |
| NPI Number | 1154531432 |
|---|---|
| Provider Enumeration Date | 05/23/2007 |
| Last Update Date | 12/10/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154531432 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | 49374 (California) | Primary |
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