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Organization

CORAZON C RABONZA DDS INC

Active
Other names
Healthy Smiles Dental Office
Organization subpart
No

Provider details

NPI number
Authorized official
DR. MARIA CORAZON CARLOS RABONZA DDS (PRESIDENT OWNER)
(818) 788-3168
Entity
Organization

Contact information

Practice address
14622 VENTURA BLVD, SUITE 202, SHERMAN OAKS, CA 91403
(818) 788-3168
(818) 788-0610
Mailing address
14622 VENTURA BLVD, SUITE 202, SHERMAN OAKS, CA 91403
(818) 788-3168
(818) 788-0610

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
45520
CA

Other

Enumeration date
01/31/2008
Last updated
01/31/2008
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