| Daniel A Matatiaho Dds Inc | |
|
8205 Santa Monica Blvd Ste 12 W Hollywood CA 90046-5963 | |
| (323) 654-1100 | |
| Not Available |
| Full Name | Daniel A Matatiaho Dds Inc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 8205 Santa Monica Blvd Ste 12, W Hollywood, California |
| Authorized Official Name and Position | Daniel Aaron Matatiaho (CEO) |
| Authorized Official Contact | 3236541100 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Daniel A Matatiaho Dds Inc 8205 Santa Monica Blvd Ste 12 W Hollywood CA 90046-5963 Ph: (323) 654-1100 | Daniel A Matatiaho Dds Inc 8205 Santa Monica Blvd Ste 12 W Hollywood CA 90046-5963 Ph: (323) 654-1100 |
| NPI Number | 1033978523 |
|---|---|
| Provider Enumeration Date | 03/18/2024 |
| Last Update Date | 02/05/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033978523 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
Victoria Olshansky D D S Inc Dental Clinic Medicare: Medicare Enrolled Practice Location: 1136 N Fairfax Ave, W Hollywood, CA 90046 Phone: 323-650-6936 |