| Dr Jennifer Vengco Santos, DDS | |
|
3516 Country Club Dr, Glendale, CA 91208-1156 | |
| (818) 957-4403 | |
| Not Available |
| Full Name | Dr Jennifer Vengco Santos |
|---|---|
| Gender | Female |
| Speciality | Dentist - General Practice |
| Location | 3516 Country Club Dr, Glendale, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215079801 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 49403 (California) | Primary |
| Entity Name | Northeast Valley Health Corporation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1629079009 PECOS PAC ID: 3173517323 Enrollment ID: O20040412001067 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Jennifer Vengco Santos, DDS 3516 Country Club Dr, Glendale, CA 91208-1156 Ph: (818) 957-4403 | Dr Jennifer Vengco Santos, DDS 3516 Country Club Dr, Glendale, CA 91208-1156 Ph: (818) 957-4403 |
Dr. Alenush D Bernardi, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 1110 N Brand Blvd Ste 201, Glendale, CA 91202 Phone: 818-244-0215 | |
Dr. Lyla A. Gazarian-boustani, D.D.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 230 N Maryland Ave, Suite 206, Glendale, CA 91206 Phone: 818-547-2804 | |
Maricel Guarin Fortin, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 1415 E Colorado St, Ste C, Glendale, CA 91205 Phone: 818-545-7270 | |
Dr. Lloyd Thomas Turner, D.D.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 1111 N Brand Blvd, Suite B, Glendale, CA 91202 Phone: 818-246-5611 | |
Paul Howon Suh, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 1031 Calle Allegre, Glendale, CA 91208 Phone: 818-489-8440 | |
Alexander Lalabekyan, D.D.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 457 W Colorado St, Suite#201, Glendale, CA 91204 Phone: 818-543-0707 Fax: 818-543-0700 | |
Andre Eliasian, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 1249 W Glenoaks Blvd, Glendale, CA 91201 Phone: 818-649-1772 Fax: 818-649-1774 |