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Organization
PINAR WAGNER DENTAL PARTNERSHIP
Active
Organization
PINAR WAGNER DENTAL PARTNERSHIP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DARYL JANE DELACRUZ (BILLING CONSULTANT)
(213) 268-5665
Entity
Organization
Contact information
Practice address
8733 BEVERLY BLVD STE 202, WEST HOLLYWOOD, CA 90048-1844
(310) 659-1000
(310) 659-3536
Mailing address
8733 BEVERLY BLVD STE 202, WEST HOLLYWOOD, CA 90048-1844
(310) 659-1000
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
03/21/2022
Last updated
03/21/2022
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