# HERITAGE ORAL SURGERY AND IMPLANT CENTERS

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- **Entity:** Organization
- **Status:** 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:** 1366346173
- **Legal business name:** HERITAGE ORAL SURGERY AND IMPLANT CENTERS
- **Authorized official:** MICHAELA MUNIZ (VP, PAYOR RELATIONS)
- **Authorized official phone:** (469) 324-3242

## Contact information

- **Practice address:** 22142 SHERMAN WAY STE 201, CANOGA PARK, CA 91303-1136
- **Practice address phone:** (818) 703-8200
- **Mailing address:** 22142 SHERMAN WAY STE 201, CANOGA PARK, CA 91303-1136
- **Mailing address phone:** (818) 703-8200

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223S0112X | Oral and Maxillofacial Surgery (Dentist) | — | NULL | Yes |
| 204E00000X | Oral & Maxillofacial Surgery (D.M.D.) | — | NULL | — |

## Other

- **Enumeration date:** 10/05/2026
- **Last updated:** 10/05/2026
