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Organization
ATALLA DENTAL CORP.
Active
Organization
ATALLA DENTAL CORP.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HANNA ATALLA DDS (PRESIDENT)
(559) 804-3130
Entity
Organization
Contact information
Practice address
557 N. MACLAY AVE., SAN FERNANDO, CA 91340
(559) 804-3130
Mailing address
9839 BELMAR AVE, NORTHRIDGE, CA 91324-1655
(559) 804-3130
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
02/26/2020
Last updated
02/26/2020
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