| Paradise Dental Group | |
|
10059 Laurel Canyon Blvd Ste #a Pacoima CA 91331-3847 | |
| (818) 896-0043 | |
| (818) 896-0054 |
| Full Name | Paradise Dental Group |
|---|---|
| Speciality | Dentist |
| Location | 10059 Laurel Canyon Blvd, Pacoima, California |
| Authorized Official Name and Position | Aurora Gil (ASSISTANT MANAGER) |
| Authorized Official Contact | 8188960043 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Paradise Dental Group 10059 Laurel Canyon Blvd Ste #a Pacoima CA 91331-3847 Ph: (818) 896-0043 | Paradise Dental Group 10059 Laurel Canyon Blvd Ste #a Pacoima CA 91331-3847 Ph: (818) 896-0043 |
| NPI Number | 1518292374 |
|---|---|
| Provider Enumeration Date | 10/13/2009 |
| Last Update Date | 10/13/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518292374 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 39753 (California) | Primary |
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