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Organization
STEVEN R. SPIVAK, DMD, INC
Active
Organization
STEVEN R. SPIVAK, DMD, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. STEVEN SPIVAK DMD (CEO)
(818) 687-3111
Entity
Organization
Contact information
Practice address
13114 SHERMAN WAY, NORTH HOLLYWOOD, CA 91605-4645
(818) 982-6162
Mailing address
5410 RHODES AVE, 102, VALLEY VILLAGE, CA 91607-1669
(818) 687-3111
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
62528
CA
Other
Enumeration date
08/21/2014
Last updated
08/21/2014
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