| United Family Dental Group | |
|
14150 Van Nuys Blvd Suite 105 Arleta CA 91331-5114 | |
| (818) 899-9999 | |
| (818) 897-0859 |
| Full Name | United Family Dental Group |
|---|---|
| Speciality | Dentist |
| Location | 14150 Van Nuys Blvd, Arleta, California |
| Authorized Official Name and Position | Simon Masood Imanuel (PRESIDENT) |
| Authorized Official Contact | 8188999999 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| United Family Dental Group 14150 Van Nuys Blvd Suite 105 Arleta CA 91331-5114 Ph: (818) 899-9999 | United Family Dental Group 14150 Van Nuys Blvd Suite 105 Arleta CA 91331-5114 Ph: (818) 899-9999 |
| NPI Number | 1467531889 |
|---|---|
| Provider Enumeration Date | 11/05/2006 |
| Last Update Date | 06/12/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1467531889 | NPI | - | NPPES |
| G9123601 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 39418 (California) | Primary |
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