# DENTAL SPECIALTY SERVICE

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1750588018
- **Authorized official:** YAN WANG (OWNER)
- **Authorized official phone:** (800) 768-4879

## Contact information

- **Practice address:** 6320 CANOGA AVE STE 1500, WOODLAND HILLS, CA 91367-2563
- **Practice address phone:** (800) 768-4879
- **Mailing address:** PO BOX 4571, VALLEY VILLAGE, CA 91617-0571

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223E0200X | Endodontics | 17984 | CA | Yes |

## Other

- **Enumeration date:** 06/29/2007
- **Last updated:** 08/22/2020