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10331 Sepulveda Blvd Mission Hills CA 91345-2421 | |
(818) 810-3290 | |
(818) 830-9683 |
Full Name | |
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Speciality | Dentist |
Location | 10331 Sepulveda Blvd, Mission Hills, California |
Authorized Official Name and Position | Elaine Salcido (CONTRACT SUPERVISOR) |
Authorized Official Contact | 7147085308 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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2 Macarthur Pl Suite 700 Santa Ana CA 92707-5924 Ph: (714) 708-5308 | 10331 Sepulveda Blvd Mission Hills CA 91345-2421 Ph: (818) 810-3290 |
NPI Number | 1699849851 |
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Provider Enumeration Date | 11/20/2006 |
Last Update Date | 07/14/2011 |
Identifier | Type | State | Issuer |
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1699849851 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
122300000X | Dentist | (* (Not Available)) | Primary |
Lawrence S. Trudgeon Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 10550 Sepulveda Blvd, Suite 115, Mission Hills, CA 91345 Phone: 818-365-6339 Fax: 818-361-6684 | |
Phillip E Peck Dds Inc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 10550 Sepulveda Blvd, Suite 115, Mission Hills, CA 91345 Phone: 818-361-8669 Fax: 818-361-6684 | |