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Organization
JACOB VAYNER DMD A PROFESSIONAL DENTAL CORPORATION
Active
Organization
JACOB VAYNER DMD A PROFESSIONAL DENTAL CORPORATION
Active
Other names
Esthetic Smile Dental
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JACOB J VAYNER DMD (PRESIDENT)
(818) 344-4929
Entity
Organization
Contact information
Practice address
19231 VICTORY BLVD STE 216, RESEDA, CA 91335-6338
(818) 344-4929
Mailing address
19231 VICTORY BLVD STE 216, RESEDA, CA 91335-6338
(818) 344-4929
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
58805
CA
Other
Enumeration date
02/20/2014
Last updated
02/20/2014
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