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Organization

D.EMANUEL,D.M.D.,INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. DONNY A EMANUEL DMD (PRESIDENT)
(818) 456-8104
Entity
Organization

Contact information

Practice address
14535 HAMLIN ST, VAN NUYS, CA 91411
(818) 787-1607
(818) 787-1643
Mailing address
14535 HAMLIN ST, VAN NUYS, CA 91411
(818) 787-1607
(818) 787-1643

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
52721
CA

Other

Enumeration date
05/06/2013
Last updated
12/21/2017
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