| Canoga Park Dental | |
|
7616 Topanga Canyon Blvd Canoga Park CA 91304-5534 | |
| (818) 887-7700 | |
| Not Available |
| Full Name | Canoga Park Dental |
|---|---|
| Speciality | Dentist |
| Location | 7616 Topanga Canyon Blvd, Canoga Park, California |
| Authorized Official Name and Position | Ronald Cruz Abaro (CEO/OWNER) |
| Authorized Official Contact | 8188877700 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Canoga Park Dental 7616 Topanga Canyon Blvd Canoga Park CA 91304-5534 Ph: (818) 887-7700 | Canoga Park Dental 7616 Topanga Canyon Blvd Canoga Park CA 91304-5534 Ph: (818) 887-7700 |
| NPI Number | 1649706128 |
|---|---|
| Provider Enumeration Date | 05/03/2017 |
| Last Update Date | 03/23/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649706128 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 49721 (California) | Primary |
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