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Organization
SHERMAN PLAZA FAMILY DENTAL
Active
Organization
SHERMAN PLAZA FAMILY DENTAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. EDMUNDO JOSE AYALA DDS (CEO)
(818) 993-4284
Entity
Organization
Contact information
Practice address
20109 SHERMAN WAY, WINNETKA, CA 91306-3206
(818) 993-4284
(818) 993-4265
Mailing address
20109 SHERMAN WAY, WINNETKA, CA 91306-3206
(818) 993-4284
(818) 993-4265
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
30997
CA
Other
Enumeration date
09/10/2007
Last updated
09/10/2007
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