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Organization

CHATSWORTH FAMILY DENTAL GROUP

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. ALAN RICHARD WOLFSON D,D.S. (OWNER)
(818) 998-6446
Entity
Organization

Contact information

Practice address
21029 DEVONSHIRE ST, CHATSWORTH, CA 91311-2315
(818) 998-6446
Mailing address
21029 DEVONSHIRE ST, CHATSWORTH, CA 91311-2315
(818) 998-6446

Taxonomy

Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
D27858
CA
261QD0000X
Dental Clinic/Center
D28675
CA

Other

Enumeration date
05/16/2011
Last updated
05/16/2011
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