Organization
VAFA DENTAL CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SANDY SCOTT (TX COORDINATOR)
(310) 201-9001
Entity
Organization
Contact information
Practice address
7865 SANTA MONICA BLVD, WEST HOLLYWOOD, CA 90046-5344
(323) 654-2840
Mailing address
7865 SANTA MONICA BLVD, WEST HOLLYWOOD, CA 90046-5344
(323) 654-2840
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
52126
CA
Other
Enumeration date
02/07/2017
Last updated
02/07/2017
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