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Organization
R A MACASAET DENTAL CORP
Active
Organization
R A MACASAET DENTAL CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RAMIL ALMENDRALA MACASAET D.D.S. (PRESIDENT)
(818) 881-0501
Entity
Organization
Contact information
Practice address
19100 VENTURA BLVD STE 1, TARZANA, CA 91356-3234
(818) 881-0501
(818) 881-6393
Mailing address
19100 VENTURA BLVD STE 1, TARZANA, CA 91356-3234
(818) 881-0501
(818) 881-6393
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
55289
CA
Other
Enumeration date
07/23/2007
Last updated
03/03/2020
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