| Venus M Obando Inc. | |
|
835 N Glendale Ave Glendale CA 91206-2128 | |
| (818) 243-3011 | |
| Not Available |
| Full Name | Venus M Obando Inc. |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 835 N Glendale Ave, Glendale, California |
| Authorized Official Name and Position | Venus M Obando (OWNER) |
| Authorized Official Contact | 8182433011 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Venus M Obando Inc. 835 N Glendale Ave Glendale CA 91206-2128 Ph: (818) 243-3011 | Venus M Obando Inc. 835 N Glendale Ave Glendale CA 91206-2128 Ph: (818) 243-3011 |
| NPI Number | 1811408958 |
|---|---|
| Provider Enumeration Date | 10/16/2017 |
| Last Update Date | 06/16/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1811408958 | NPI | - | NPPES |
| 1992928642 | Other | CA | DENTIST |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 49962 (California) | Primary |
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