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Organization
GRANADA CITY DENTAL A PROFESSIONAL CORPORATION
Active
Organization
GRANADA CITY DENTAL A PROFESSIONAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MELISA HERNANDEZ (PRESIDENT)
(818) 488-9468
Entity
Organization
Contact information
Practice address
16917 DEVONSHIRE ST, GRANADA HILLS, CA 91344-7407
(818) 488-9468
Mailing address
16917 DEVONSHIRE ST, GRANADA HILLS, CA 91344-7407
(818) 488-9468
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
08/11/2026
Last updated
08/19/2026
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