| Fallbrook Dental Group | |
|
6739 3/4 Fallbrook Ave West Hills CA 91307-3522 | |
| (818) 592-6060 | |
| (818) 592-8306 |
| Full Name | Fallbrook Dental Group |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 6739 3/4 Fallbrook Ave, West Hills, California |
| Authorized Official Name and Position | Kevin Ghiani (CEO) |
| Authorized Official Contact | 3104861909 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Fallbrook Dental Group 6739 3/4 Fallbrook Ave West Hills CA 91307-3522 Ph: (818) 592-6060 | Fallbrook Dental Group 6739 3/4 Fallbrook Ave West Hills CA 91307-3522 Ph: (818) 592-6060 |
| NPI Number | 1952791816 |
|---|---|
| Provider Enumeration Date | 01/30/2015 |
| Last Update Date | 02/18/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1952791816 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 00022G1335-001-2 (California) | Primary |
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