| Astrid Soegaard D.m.d., Inc. | |
| 
					747 Foothill Blvd Suite 2 La Canada CA 91011-3438  | |
| (818) 790-5531 | |
| (818) 790-5533 | 
| Full Name | Astrid Soegaard D.m.d., Inc. | 
|---|---|
| Speciality | Dentist - General Practice | 
| Location | 747 Foothill Blvd, La Canada, California | 
| Authorized Official Name and Position | Astrid Soegaard (OWNER DENTIST) | 
| Authorized Official Contact | 8187905531 | 
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. | 
| Mailing Address | Practice Location Address | 
|---|---|
| Astrid Soegaard D.m.d., Inc. 747 Foothill Blvd Suite 2 La Canada CA 91011-3438 Ph: (818) 790-5531  | Astrid Soegaard D.m.d., Inc. 747 Foothill Blvd Suite 2 La Canada CA 91011-3438 Ph: (818) 790-5531  | 
| NPI Number | 1932329422 | 
|---|---|
| Provider Enumeration Date | 04/26/2007 | 
| Last Update Date | 08/22/2020 | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1932329422 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 38364 (California) | Primary | 
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