| Southern Calidornia Dental Group | |
|
14431 Ventura Blvd Sherman Oaks CA 91423-2606 | |
| (818) 905-5400 | |
| Not Available |
| Full Name | Southern Calidornia Dental Group |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 14431 Ventura Blvd, Sherman Oaks, California |
| Authorized Official Name and Position | Larry Hamer (PRESIDENT) |
| Authorized Official Contact | 8189055400 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Southern Calidornia Dental Group 3551 Via Del Prado Calabasas CA 91302-5884 Ph: () - | Southern Calidornia Dental Group 14431 Ventura Blvd Sherman Oaks CA 91423-2606 Ph: (818) 905-5400 |
| NPI Number | 1164648291 |
|---|---|
| Provider Enumeration Date | 04/17/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164648291 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 43604 (California) | Primary |
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