| Two Front | |
|
2408 Grandview Ave Venice CA 90291-4938 | |
| (332) 203-2631 | |
| Not Available |
| Full Name | Two Front |
|---|---|
| Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
| Location | 2408 Grandview Ave, Venice, California |
| Authorized Official Name and Position | Ingrid Murra (FOUNDER) |
| Authorized Official Contact | 7132642008 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Two Front 2408 Grandview Ave Venice CA 90291-4938 Ph: () - | Two Front 2408 Grandview Ave Venice CA 90291-4938 Ph: (332) 203-2631 |
| NPI Number | 1790391209 |
|---|---|
| Provider Enumeration Date | 09/21/2020 |
| Last Update Date | 05/17/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790391209 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | (* (Not Available)) | Primary |
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