| NPI | 1649706128 |
|---|---|
| Doing Business As | CANOGA PARK DENTAL |
| Entity Type | Organization |
| Authorized Contact | RONALD CRUZ ABARO CEO/Owner 818-887-7700 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: CA 49721) |
| Enumeration Date | 2017-05-03 |
| Last Update Date | 2021-03-23 |