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Organization
RIVCO LEASERVICE
Active
Organization
RIVCO LEASERVICE
Active
Other names
Studio City Dental Group
Organization subpart
No
Provider details
NPI number
Authorized official
DR. FREDERIC C MANDELL DDS (PARTNER)
(818) 506-2424
Entity
Organization
Contact information
Practice address
12840 RIVERSIDE DRIVE, SUITE 508, NORTH HOLLYWOOD, CA 91607
(818) 506-2424
(818) 763-5679
Mailing address
12840 RIVERSIDE DRIVE, SUITE 508, NORTH HOLLYWOOD, CA 91607
(818) 506-2424
(818) 763-5679
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
22248
CA
Other
Enumeration date
05/04/2007
Last updated
08/22/2020
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