| Global Dental Office | |
|
7136 Haskell Ave Ste 217 Van Nuys CA 91406-4112 | |
| (818) 781-5180 | |
| (818) 787-0655 |
| Full Name | Global Dental Office |
|---|---|
| Speciality | Dentist |
| Location | 7136 Haskell Ave Ste 217, Van Nuys, California |
| Authorized Official Name and Position | Philomena O Oboh (OWNER) |
| Authorized Official Contact | 8187815180 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Global Dental Office 14434 Hamlin Street Suite 2 Van Nuys CA 91401-1461 Ph: (818) 781-5180 | Global Dental Office 7136 Haskell Ave Ste 217 Van Nuys CA 91406-4112 Ph: (818) 781-5180 |
| NPI Number | 1619376993 |
|---|---|
| Provider Enumeration Date | 08/22/2014 |
| Last Update Date | 05/11/2020 |
| Certification Date | 05/11/2020 |
| Medicare PECOS PAC ID | 6002159852 |
|---|---|
| Medicare Enrollment ID | O20190517000560 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619376993 | NPI | - | NPPES |
| CB204573 | Other | CA | PTAN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 41121 (California) | Primary |
| Provider Name | Philomena Oboh |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1649335241 PECOS PAC ID: 4284860784 Enrollment ID: I20131111000912 |
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