| San Fernando Valley Oral Surgery and Implant Center | |
|
423 N Maclay Ave San Fernando CA 91340-2416 | |
| (805) 813-6074 | |
| Not Available |
| Full Name | San Fernando Valley Oral Surgery and Implant Center |
|---|---|
| Speciality | Dentist - Oral And Maxillofacial Surgery |
| Location | 423 N Maclay Ave, San Fernando, California |
| Authorized Official Name and Position | Mehul J Patel (ORAL AND MAXILLOFACIAL SURGEON) |
| Authorized Official Contact | 8058136074 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| San Fernando Valley Oral Surgery and Implant Center 423 N Maclay Ave San Fernando CA 91340-2416 | San Fernando Valley Oral Surgery and Implant Center 423 N Maclay Ave San Fernando CA 91340-2416 Ph: (805) 813-6074 |
| NPI Number | 1225886724 |
|---|---|
| Provider Enumeration Date | 05/09/2024 |
| Last Update Date | 05/09/2024 |
| Certification Date | 05/09/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1225886724 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | () | Primary |
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