Organization
NATALIE MANSOUR DMD DENTAL CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. NATALIE CHANTAL MANSOUR DMD (PRESIDENT)
(310) 902-7775
Entity
Organization
Contact information
Practice address
709 S CENTRAL AVE, SUITE A, GLENDALE, CA 91204-2010
(818) 500-7330
(818) 500-7340
Mailing address
615 CLINTON PL, BEVERLY HILLS, CA 90210-1917
(310) 902-7775
(310) 858-8333
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
49374
CA
Other
Enumeration date
05/23/2007
Last updated
12/10/2014
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