| Kingdental | |
|
7349 Topanga Canyon Blvd Canoga Park CA 91303-1244 | |
| (818) 348-1506 | |
| (818) 348-4883 |
| Full Name | Kingdental |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 7349 Topanga Canyon Blvd, Canoga Park, California |
| Authorized Official Name and Position | Gilbert L King (CEO) |
| Authorized Official Contact | 8183481506 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kingdental 646 N Larchmont Blvd Los Angeles CA 90004-1308 Ph: (323) 464-8677 | Kingdental 7349 Topanga Canyon Blvd Canoga Park CA 91303-1244 Ph: (818) 348-1506 |
| NPI Number | 1649305624 |
|---|---|
| Provider Enumeration Date | 02/22/2007 |
| Last Update Date | 09/20/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649305624 | NPI | - | NPPES |
| 36463 | Other | CA | LICENCE NUMBER |
| G3983-02 | Other | CA | DENTI-CAL |
| 36423 | Other | CA | LICENCE # |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 36463 (California) | Primary |
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