| Chatsworth Family Dental Group | |
|
21029 Devonshire St Chatsworth CA 91311-2315 | |
| (818) 998-6446 | |
| Not Available |
| Full Name | Chatsworth Family Dental Group |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 21029 Devonshire St, Chatsworth, California |
| Authorized Official Name and Position | Alan Richard Wolfson (OWNER) |
| Authorized Official Contact | 8189986446 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Chatsworth Family Dental Group 21029 Devonshire St Chatsworth CA 91311-2315 Ph: (818) 998-6446 | Chatsworth Family Dental Group 21029 Devonshire St Chatsworth CA 91311-2315 Ph: (818) 998-6446 |
| NPI Number | 1003109612 |
|---|---|
| Provider Enumeration Date | 05/16/2011 |
| Last Update Date | 05/16/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003109612 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | D28675 (California) | Secondary |
| 261QD0000X | Clinic/center - Dental | D27858 (California) | Primary |
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