# DENTAL IMAGE SOLUTIONS CORP

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- **Entity:** Organization
- **Status:** Active
- **Other names:** den-med-pro.com
- **Organization subpart:** No

## Provider details

- **NPI number:** 1083853600
- **Authorized official:** MR. DANIEL TEBBI (OWNER)
- **Authorized official phone:** (818) 789-9008

## Contact information

- **Practice address:** 16661 VENTURA BLVD STE 620, ENCINO, CA 91436-4812
- **Practice address phone:** (818) 789-9008
- **Practice address fax:** (818) 501-1368
- **Mailing address:** 16661 VENTURA BLVD STE 620, ENCINO, CA 91436-4812
- **Mailing address phone:** (818) 789-9008
- **Mailing address fax:** (818) 501-1368

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332B00000X | Durable Medical Equipment & Medical Supplies | 100-926110 | CA | Yes |

## Other

- **Enumeration date:** 02/05/2009
- **Last updated:** 02/05/2009
