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Individual

DAVID SCOTT FINE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.D.S.

Contact information

Practice address
16311 VENTURA BLVD, SUITE 620, ENCINO, CA 91436-2124
(818) 788-7123
(818) 788-0170
Mailing address
16311 VENTURA BLVD, SUITE 620, ENCINO, CA 91436-2124
(818) 788-7123
(818) 788-0170

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
035393
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
035393
STATE LIC NUMBER
CA
Enumeration date
03/06/2007
Last updated
07/08/2007
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