| Twin Palms Dental | |
|
13888 Foothill Blvd Sylmar CA 91342-3012 | |
| (818) 362-4900 | |
| Not Available |
| Full Name | Twin Palms Dental |
|---|---|
| Speciality | Dentist |
| Location | 13888 Foothill Blvd, Sylmar, California |
| Authorized Official Name and Position | Ayman Nouneh (DENTIST/OWNER) |
| Authorized Official Contact | 8183624900 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Twin Palms Dental 13888 Foothill Blvd Sylmar CA 91342-3012 Ph: (818) 362-4900 | Twin Palms Dental 13888 Foothill Blvd Sylmar CA 91342-3012 Ph: (818) 362-4900 |
| NPI Number | 1104237551 |
|---|---|
| Provider Enumeration Date | 05/19/2014 |
| Last Update Date | 01/25/2017 |
| Medicare PECOS PAC ID | 8729360623 |
|---|---|
| Medicare Enrollment ID | O20170130002489 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104237551 | NPI | - | NPPES |
| 39855 | Other | CA | LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 39855 (California) | Primary |
| Provider Name | Ayman Nouneh |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1710069349 PECOS PAC ID: 9436431236 Enrollment ID: I20170130002679 |
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