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Organization
GREENBURG, DDS, PC
Active
Organization
GREENBURG, DDS, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JONATHAN GIL GREENBURG D.D.S. (PRESIDENT)
(818) 205-1122
Entity
Organization
Contact information
Practice address
5400 BALBOA BLVD STE 120, ENCINO, CA 91316-5200
(818) 205-1122
(818) 386-8963
Mailing address
24981 PALMILLA DR, CALABASAS, CA 91302-3053
(818) 414-4817
(818) 591-1510
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
30452
CA
332B00000X
Durable Medical Equipment & Medical Supplies
30452
CA
Other
Enumeration date
11/01/2017
Last updated
11/01/2017
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