| Silverlake Dental | |
|
2390 N Glendale Blvd Los Angeles CA 90039-3209 | |
| (323) 913-9900 | |
| (323) 669-3967 |
| Full Name | Silverlake Dental |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 2390 N Glendale Blvd, Los Angeles, California |
| Authorized Official Name and Position | James N Mobaser (CEO) |
| Authorized Official Contact | 3239139900 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Silverlake Dental 2390 N Glendale Blvd Los Angeles CA 90039-3209 Ph: (323) 913-9900 | Silverlake Dental 2390 N Glendale Blvd Los Angeles CA 90039-3209 Ph: (323) 913-9900 |
| NPI Number | 1326180993 |
|---|---|
| Provider Enumeration Date | 02/12/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1326180993 | NPI | - | NPPES |
| G9233501 | Other | CA | DENTI CAL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 46891 (California) | Primary |
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