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Organization
DENTAL SPECIALTY SERVICE
Active
Organization
DENTAL SPECIALTY SERVICE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
YAN WANG (OWNER)
(800) 768-4879
Entity
Organization
Contact information
Practice address
6320 CANOGA AVE STE 1500, WOODLAND HILLS, CA 91367-2563
(800) 768-4879
Mailing address
PO BOX 4571, VALLEY VILLAGE, CA 91617-0571
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
17984
CA
Other
Enumeration date
06/29/2007
Last updated
08/22/2020
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