Studio City Dental Group | |
12840 Riverside Drive Suite 508 North Hollywood CA 91607 | |
(818) 506-2424 | |
(818) 763-5679 |
Full Name | Studio City Dental Group |
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Speciality | Dentist - General Practice |
Location | 12840 Riverside Drive, North Hollywood, California |
Authorized Official Name and Position | Frederic C Mandell (PARTNER) |
Authorized Official Contact | 8185062424 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Studio City Dental Group 12840 Riverside Drive Suite 508 North Hollywood CA 91607 Ph: (818) 506-2424 | Studio City Dental Group 12840 Riverside Drive Suite 508 North Hollywood CA 91607 Ph: (818) 506-2424 |
NPI Number | 1093927584 |
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Provider Enumeration Date | 05/04/2007 |
Last Update Date | 08/22/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1093927584 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223G0001X | Dentist - General Practice | 22248 (California) | Primary |
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