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Individual provider · General Practice Dentistry · Valley Village, CA

NPI
1497126353
Type
Individual (Type 1)
Primary specialty
General Practice Dentistry (Dentist)
Specialty group
Dental Providers
Taxonomy code
1223G0001X
License number
64966 (CA)
Sex
Male
Sole proprietor
No
Enumerated
2015-10-16
Last updated
2025-11-20
Practice location
12137 Magnolia Blvd
Valley Village, CA 91607-2609
(818) 308-6024

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