| Ricardo And Maria Pellegrini Dds A Dental Corporation | |
|
14435 Hamlin St Suite # 210 Van Nuys CA 91401-6205 | |
| (818) 908-4090 | |
| (818) 908-4023 |
| Full Name | Ricardo And Maria Pellegrini Dds A Dental Corporation |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 14435 Hamlin St, Van Nuys, California |
| Authorized Official Name and Position | Ricardo Angel Pellegrini (PRESIDENT) |
| Authorized Official Contact | 8189084090 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ricardo And Maria Pellegrini Dds A Dental Corporation 14435 Hamlin St Suite # 210 Van Nuys CA 91401-6205 Ph: (818) 908-4090 | Ricardo And Maria Pellegrini Dds A Dental Corporation 14435 Hamlin St Suite # 210 Van Nuys CA 91401-6205 Ph: (818) 908-4090 |
| NPI Number | 1073719274 |
|---|---|
| Provider Enumeration Date | 06/25/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073719274 | NPI | - | NPPES |
| 51128 | Other | CA | DELTA DENTAL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 51128 (California) | Primary |
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