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Organization
ME DENTAL SPA
Active
Organization
ME DENTAL SPA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DENIS MUSTEDANAGIC DMD (OWNER DOCTOR)
(423) 314-7497
Entity
Organization
Contact information
Practice address
9201 W SUNSET BLVD STE 212, WEST HOLLYWOOD, CA 90069-3703
(423) 314-7497
Mailing address
718 N CROFT AVE APT 303, LOS ANGELES, CA 90069-5350
(423) 314-7497
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
01/30/2022
Last updated
01/30/2022
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