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Organization

PHILOMENA O OBOH DDS A PROFESSIONAL CORPORATION

Active
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Organization

PHILOMENA O OBOH DDS A PROFESSIONAL CORPORATION

Active
Parent organization
PHILOMENA O OBOH DDS A PROFESSIONAL CORPORATION
Other names
global dental office
Organization subpart
Yes

Provider details

NPI number
Legal business name
PHILOMENA O OBOH DDS A PROFESSIONAL CORPORATION
Authorized official
DR. PHILOMENA O OBOH DDS (OWNER)
(818) 781-5180
Entity
Organization

Contact information

Practice address
7136 HASKELL AVE STE 217, VAN NUYS, CA 91406-4112
(818) 781-5180
(818) 787-0655
Mailing address
14434 HAMLIN STREET, SUITE 2, VAN NUYS, CA 91401-1461
(818) 781-5180
(818) 781-4651

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
41121
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
CB204573
PTAN
CA
Enumeration date
08/22/2014
Last updated
05/11/2020
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