NPI | 1568766012 |
---|---|
Doing Business As | VAN NUYS PANORAMA DENTAL CENER |
Entity Type | Organization |
Authorized Contact | MAHFOUZ M GEREIS President 818-989-3074 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist General Practice (Licence: CA 27432) |
Enumeration Date | 2010-12-27 |
Last Update Date | 2010-12-27 |