| West Valley Oral Surgery Group | |
|
5363 Balboa Blvd Ste 233 Encino CA 91316-2824 | |
| (818) 788-4424 | |
| (818) 788-4426 |
| Full Name | West Valley Oral Surgery Group |
|---|---|
| Speciality | Dentist - Oral And Maxillofacial Surgery |
| Location | 5363 Balboa Blvd Ste 233, Encino, California |
| Authorized Official Name and Position | Natalie Kolkovich (OFFICE MANAGER) |
| Authorized Official Contact | 8187884424 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| West Valley Oral Surgery Group 5363 Balboa Blvd Ste 233 Encino CA 91316-2824 Ph: (818) 788-4424 | West Valley Oral Surgery Group 5363 Balboa Blvd Ste 233 Encino CA 91316-2824 Ph: (818) 788-4424 |
| NPI Number | 1447623525 |
|---|---|
| Provider Enumeration Date | 11/11/2015 |
| Last Update Date | 11/11/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1447623525 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | 58921 (California) | Primary |
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