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Organization
KIDS COMMUNITY CLINIC OF BURBANK
Active
Organization
KIDS COMMUNITY CLINIC OF BURBANK
Active
Other names
Kids' Community Dental Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RICHARD MARIAS DMD (BOARD PRESIDENT, VOLUNTEER DENTIST)
(818) 841-8010
Entity
Organization
Contact information
Practice address
400 W ELMWOOD AVE, BURBANK, CA 91506-3304
(818) 841-8010
(818) 841-8006
Mailing address
400 W ELMWOOD AVE, BURBANK, CA 91506-3304
(818) 841-8010
(818) 841-8006
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
032653
CA
122300000X
Dentist
Primary
DE33337
CA
124Q00000X
Dental Hygienist
27156
CA
124Q00000X
Dental Hygienist
27544
CA
126800000X
Dental Assistant
77534
CA
Other
Enumeration date
09/24/2014
Last updated
09/24/2014
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