| NPI | 1407567522 |
|---|---|
| Doing Business As | DENTISTS OF CANOGA PARK |
| Entity Type | Organization |
| Authorized Contact | AMBER GILBERT Owner 818-227-8986 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2022-12-09 |
| Last Update Date | 2022-12-09 |