| Eton Dental | |
|
21300 Sherman Way Ste 15 Canoga Park CA 91303 | |
| (818) 312-9787 | |
| (818) 312-9786 |
| Full Name | Eton Dental |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 21300 Sherman Way Ste 15, Canoga Park, California |
| Authorized Official Name and Position | Adriana E Kenney (OWNER) |
| Authorized Official Contact | 8183129787 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Eton Dental 21300 Sherman Way Ste 15 Canoga Park CA 91303 Ph: () - | Eton Dental 21300 Sherman Way Ste 15 Canoga Park CA 91303 Ph: (818) 312-9787 |
| NPI Number | 1427368679 |
|---|---|
| Provider Enumeration Date | 10/20/2010 |
| Last Update Date | 05/01/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1427368679 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 28583 (California) | Primary |
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