Organization
RICARDO AND MARIA PELLEGRINI DDS A DENTAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RICARDO ANGEL PELLEGRINI DDS (PRESIDENT)
(818) 908-4090
Entity
Organization
Contact information
Practice address
14435 HAMLIN ST, SUITE # 210, VAN NUYS, CA 91401-6205
(818) 908-4090
(818) 908-4023
Mailing address
14435 HAMLIN ST, SUITE # 210, VAN NUYS, CA 91401-6205
(818) 908-4090
(818) 908-4023
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
51128
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
51128
DELTA DENTAL
CA
Enumeration date
06/25/2007
Last updated
08/22/2020
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