# WILLIAM GINZBURG DENTAL CENTER INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Marina Cosmetic & Implant Center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1457834889
- **Authorized official:** WILLIAM GINZBURG DDS (PRESIDENT)
- **Authorized official phone:** (310) 268-0646

## Contact information

- **Practice address:** 13286 FIJI WAY, MARINA DEL REY, CA 90292-7119
- **Practice address phone:** (310) 821-2611
- **Mailing address:** 13286 FIJI WAY, MARINA DEL REY, CA 90292-7119
- **Mailing address phone:** (310) 821-2611

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223E0200X | Endodontics | — | NULL | — |
| 1223E0200X | Endodontics | — | — | — |
| 1223G0001X | General Practice Dentistry | — | NULL | — |
| 1223G0001X | General Practice Dentistry | — | — | — |
| 1223P0300X | Periodontics | — | NULL | — |
| 1223P0300X | Periodontics | — | — | — |
| 1223P0700X | Prosthodontics | — | NULL | — |
| 1223P0700X | Prosthodontics | — | — | — |
| 1223S0112X | Oral and Maxillofacial Surgery (Dentist) | — | NULL | Yes |
| 1223S0112X | Oral and Maxillofacial Surgery (Dentist) | — | — | Yes |

## Other

- **Enumeration date:** 09/12/2018
- **Last updated:** 09/12/2018