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23005 Soledad Canyon Rd Santa Clarita CA 91350 | |
| (833) 377-6265 | |
| (888) 243-2435 |
| Full Name | |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 23005 Soledad Canyon Rd, Santa Clarita, California |
| Authorized Official Name and Position | Henry Sobol (PRESIDENT) |
| Authorized Official Contact | 8333776265 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
16911 San Fernando Mission Blvd #192 Granada Hills CA 91344-4250 Ph: (833) 377-6265 | 23005 Soledad Canyon Rd Santa Clarita CA 91350 Ph: (833) 377-6265 |
| NPI Number | 1750895132 |
|---|---|
| Provider Enumeration Date | 11/21/2017 |
| Last Update Date | 12/20/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1750895132 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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