Organization
NOAM M GREENBAUM DDS PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. NOAM GREENBAUM DDS (OWNER DENTIST)
(818) 528-8755
Entity
Organization
Contact information
Practice address
16133 VENTURA BLVD STE 470, ENCINO, CA 91436-2402
(818) 528-8755
Mailing address
16133 VENTURA BLVD STE 470, ENCINO, CA 91436-2402
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
—
—
1223P0221X
Pediatric Dentistry
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
107608
DENTIST
CA
Enumeration date
04/12/2023
Last updated
04/12/2023
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