| Hirano Kanuga Dental Group | |
|
18580 Via Princessa Ste 3 Canyon Country CA 91387-8329 | |
| (661) 388-0499 | |
| Not Available |
| Full Name | Hirano Kanuga Dental Group |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 18580 Via Princessa Ste 3, Canyon Country, California |
| Authorized Official Name and Position | Shukan Kanuga (PARTNER) |
| Authorized Official Contact | 3104635027 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Hirano Kanuga Dental Group 18580 Via Princessa Ste 3 Canyon Country CA 91387-8329 Ph: (661) 388-0499 | Hirano Kanuga Dental Group 18580 Via Princessa Ste 3 Canyon Country CA 91387-8329 Ph: (661) 388-0499 |
| NPI Number | 1255829370 |
|---|---|
| Provider Enumeration Date | 04/24/2018 |
| Last Update Date | 04/24/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255829370 | NPI | - | NPPES |
| 1790975597 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | 57764 (California) | Primary |
| 1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | (* (Not Available)) | Secondary |
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