| Northridge Dental Office | |
|
18519 Devonshire St Northridge CA 91324-1308 | |
| (818) 831-9990 | |
| (818) 831-9996 |
| Full Name | Northridge Dental Office |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 18519 Devonshire St, Northridge, California |
| Authorized Official Name and Position | Charles F Rodgers (OWNER DDS) |
| Authorized Official Contact | 8188319990 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Northridge Dental Office 2860 Michelle 2nd Floor Irvine CA 92606-1009 Ph: (714) 508-3600 | Northridge Dental Office 18519 Devonshire St Northridge CA 91324-1308 Ph: (818) 831-9990 |
| NPI Number | 1174618946 |
|---|---|
| Provider Enumeration Date | 10/04/2006 |
| Last Update Date | 02/05/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174618946 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 35324 (California) | Primary |
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