Organization
DR. JEANNIE ANN MOLATO D.M.D.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JEANNIE ANN MOLATO DMD (OWNER/DENTIST)
(818) 988-8184
Entity
Organization
Contact information
Practice address
7133 SEPULVEDA BLVD., VAN NUYS, CA 91405
(818) 988-8184
(818) 988-8727
Mailing address
7133 SEPULVEDA BLVD., VAN NUYS, CA 91405
(818) 988-8184
(818) 988-8727
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
48054
CA
261QD0000X
Dental Clinic/Center
Primary
44948
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
319275608
ADA #
CA
01
—
44948
DENTAL LICENSE
CA
01
—
B44948-O1
DENTI-CAL
CA
Enumeration date
01/25/2008
Last updated
03/07/2023
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