| West Valley Endodontic Dental Group | |
|
5363 Balboa Blvd Suite 534 Encino CA 91316-2805 | |
| (818) 986-6777 | |
| (818) 986-6519 |
| Full Name | West Valley Endodontic Dental Group |
|---|---|
| Speciality | Dentist - Endodontics |
| Location | 5363 Balboa Blvd, Encino, California |
| Authorized Official Name and Position | Thomas A Jovicich (OWNER) |
| Authorized Official Contact | 8189866777 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| West Valley Endodontic Dental Group 5363 Balboa Blvd Suite 534 Encino CA 91316-2805 Ph: (818) 986-6777 | West Valley Endodontic Dental Group 5363 Balboa Blvd Suite 534 Encino CA 91316-2805 Ph: (818) 986-6777 |
| NPI Number | 1023407947 |
|---|---|
| Provider Enumeration Date | 01/15/2015 |
| Last Update Date | 01/15/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023407947 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223E0200X | Dentist - Endodontics | 36878 (California) | Primary |
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