| Mary Ann Corpus, Dmd | |
|
15720 Ventura Blvd Suite 301 Encino CA 91436-2914 | |
| (818) 788-7181 | |
| (818) 907-1891 |
| Full Name | Mary Ann Corpus, Dmd |
|---|---|
| Speciality | Dentist |
| Location | 15720 Ventura Blvd, Encino, California |
| Authorized Official Name and Position | Mary Ann Arevalo Corpus (OWNER) |
| Authorized Official Contact | 8187887181 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mary Ann Corpus, Dmd 15720 Ventura Blvd Ste 301 Encino CA 91436-2983 Ph: (818) 788-7181 | Mary Ann Corpus, Dmd 15720 Ventura Blvd Suite 301 Encino CA 91436-2914 Ph: (818) 788-7181 |
| NPI Number | 1124224985 |
|---|---|
| Provider Enumeration Date | 06/26/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124224985 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | D41381 (California) | Primary |
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