Individual
DR. MICHAEL GOREN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
14515 1/2 VICTORY BLVD, VAN NUYS, CA 91411-1619
(818) 902-9999
(818) 902-9393
Mailing address
14515 1/2 VICTORY BLVD, VAN NUYS, CA 91411-1619
(818) 902-9999
(818) 902-9393
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
53907
CA
Other
Enumeration date
02/25/2009
Last updated
08/06/2010
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