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Organization
SUNSET SMILE DENTAL CORP
Active
Organization
SUNSET SMILE DENTAL CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BILL E GINZBURG DDS (OWNER/CEO)
(310) 424-3690
Entity
Organization
Contact information
Practice address
8606A W SUNSET BLVD, WEST HOLLYWOOD, CA 90069-2302
(310) 424-3690
(310) 424-3495
Mailing address
8606 A WEST SUNSET BLVD, WEST HOLLYWOOD, CA 90069
(310) 424-3690
(310) 424-3495
Taxonomy
Speciality
Code
Description
License number
State
302R00000X
Health Maintenance Organization
41789
CA
305R00000X
Preferred Provider Organization
Primary
41789
CA
Other
Enumeration date
08/29/2014
Last updated
09/03/2019
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