Organization
WEST VALLEY ENDODONTIC DENTAL GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. THOMAS A JOVICICH (OWNER)
(818) 986-6777
Entity
Organization
Contact information
Practice address
5363 BALBOA BLVD, SUITE 534, ENCINO, CA 91316-2805
(818) 986-6777
(818) 986-6519
Mailing address
5363 BALBOA BLVD, SUITE 534, ENCINO, CA 91316-2805
(818) 986-6777
(818) 986-6519
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
36878
CA
Other
Enumeration date
01/15/2015
Last updated
01/15/2015
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