Star Kids Dental | |
1824 West Verdugo Ave. Burbank CA 91506 | |
(310) 740-0667 | |
Not Available |
Full Name | Star Kids Dental |
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Speciality | Dentist - Pediatric Dentistry |
Location | 1824 West Verdugo Ave., Burbank, California |
Authorized Official Name and Position | Sanah Amir Sohrab (PRESIDENT) |
Authorized Official Contact | 3107400667 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Star Kids Dental 1824 West Verdugo Ave. Burbank CA 91506 Ph: () - | Star Kids Dental 1824 West Verdugo Ave. Burbank CA 91506 Ph: (310) 740-0667 |
NPI Number | 1447519129 |
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Provider Enumeration Date | 05/15/2012 |
Last Update Date | 05/15/2012 |
Identifier | Type | State | Issuer |
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1447519129 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223P0221X | Dentist - Pediatric Dentistry | 55741 (California) | Primary |
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