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Organization
MOUCHAMEL DENTAL CORPORATION
Active
Organization
MOUCHAMEL DENTAL CORPORATION
Active
Other names
ABC Dental Group
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SAM MOUCHAMEL DDS (OWNER)
(818) 557-2299
Entity
Organization
Contact information
Practice address
1319 N SAN FERNANDO BLVD, BURBANK, CA 91504
(818) 557-2299
(818) 557-8749
Mailing address
1319 N SAN FERNANDO BLVD, BURBANK, CA 91504
(818) 557-2299
(818) 557-8749
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
40861
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
G9109701
DENTICAL
CA
Enumeration date
12/17/2007
Last updated
12/17/2007
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