| Dental Community Clinic | |
|
13309 Van Nuys Blvd Pacoima CA 91331-3006 | |
| (310) 701-0770 | |
| Not Available |
| Full Name | Dental Community Clinic |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 13309 Van Nuys Blvd, Pacoima, California |
| Authorized Official Name and Position | Michael Daneshgar (OFFICE MANAGER) |
| Authorized Official Contact | 3107010770 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dental Community Clinic 13309 Van Nuys Blvd Pacoima CA 91331-3006 | Dental Community Clinic 13309 Van Nuys Blvd Pacoima CA 91331-3006 Ph: (310) 701-0770 |
| NPI Number | 1831758762 |
|---|---|
| Provider Enumeration Date | 06/13/2019 |
| Last Update Date | 06/13/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1831758762 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (NU) | Primary |
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