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Organization
HERITAGE ORAL SURGERY AND IMPLANT CENTERS
Active
Organization
HERITAGE ORAL SURGERY AND IMPLANT CENTERS
Active
Parent organization
HERITAGE ORAL SURGERY AND IMPLANT CENTERS
Other names
Heritage Oral Surgery & Implant Centers - West Valley
Organization subpart
Yes
Provider details
NPI number
Legal business name
HERITAGE ORAL SURGERY AND IMPLANT CENTERS
Authorized official
MICHAELA MUNIZ (VP, PAYOR RELATIONS)
(469) 324-3242
Entity
Organization
Contact information
Practice address
22142 SHERMAN WAY STE 201, CANOGA PARK, CA 91303-1136
(818) 703-8200
Mailing address
22142 SHERMAN WAY STE 201, CANOGA PARK, CA 91303-1136
(818) 703-8200
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
—
NULL
204E00000X
Oral & Maxillofacial Surgery (D.M.D.)
—
NULL
Other
Enumeration date
10/05/2026
Last updated
10/05/2026
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