# AMERIDENT HEALTH PRO, INC.

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** AMERIDENT HEALTH PRO, INC.
- **Other names:** Marina Family Dentistry
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1689030462
- **Legal business name:** AMERIDENT HEALTH PRO, INC.
- **Authorized official:** DR. WILLIAM GINZBURG DDS (PRACTICE OWNER)
- **Authorized official phone:** (310) 268-0646

## Contact information

- **Practice address:** 13155 MINDANAO WAY, MARINA DEL REY, CA 90292-6307
- **Practice address phone:** (310) 268-0646
- **Practice address fax:** (310) 268-0536
- **Mailing address:** 13155 MINDANAO WAY, MARINA DEL REY, CA 90292-6307
- **Mailing address phone:** (310) 268-0646
- **Mailing address fax:** (310) 268-0536

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | 40241 | CA | Yes |

## Other

- **Enumeration date:** 01/08/2016
- **Last updated:** 01/08/2016