| Nisman & Bacquet, D.d.s., Inc. | |
|
17214 Saticoy St Van Nuys CA 91406-2103 | |
| (818) 708-9889 | |
| Not Available |
| Full Name | Nisman & Bacquet, D.d.s., Inc. |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 17214 Saticoy St, Van Nuys, California |
| Authorized Official Name and Position | Charles Robert Bacquet (C.E.O.) |
| Authorized Official Contact | 8188415654 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Nisman & Bacquet, D.d.s., Inc. 17214 Saticoy St Van Nuys CA 91406-2103 Ph: (818) 708-9889 | Nisman & Bacquet, D.d.s., Inc. 17214 Saticoy St Van Nuys CA 91406-2103 Ph: (818) 708-9889 |
| NPI Number | 1336369768 |
|---|---|
| Provider Enumeration Date | 04/26/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336369768 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 27725 (California) | Primary |
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