| Robert Hazany Dds A Professional Corp | |
|
20832 Roscoe Blvd Suite #101 Canoga Park CA 91306 | |
| (818) 998-7645 | |
| (818) 998-8457 |
| Full Name | Robert Hazany Dds A Professional Corp |
|---|---|
| Speciality | Dentist |
| Location | 20832 Roscoe Blvd, Canoga Park, California |
| Authorized Official Name and Position | Robert Hazany (DENTIST) |
| Authorized Official Contact | 8189987645 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Robert Hazany Dds A Professional Corp 20832 Roscoe Blvd Suite 101 Canoga Park CA 91306 Ph: (818) 998-7645 | Robert Hazany Dds A Professional Corp 20832 Roscoe Blvd Suite #101 Canoga Park CA 91306 Ph: (818) 998-7645 |
| NPI Number | 1174679914 |
|---|---|
| Provider Enumeration Date | 01/26/2007 |
| Last Update Date | 03/04/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174679914 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 39963 (California) | Primary |
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