Organization
DANIEL J. IANNOTTI, DDS, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DANIEL J IANNOTTI DDS (OWNER DENTIST)
(661) 481-0884
Entity
Organization
Contact information
Practice address
25880 TOURNAMENT RD, SUITE 106, VALENCIA, CA 91355-2349
(661) 481-0884
(661) 481-0443
Mailing address
25880 TOURNAMENT RD, SUITE 106, VALENCIA, CA 91355-2349
(661) 481-0884
(661) 481-0443
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
61318
CA
1223E0200X
Endodontics
61318
CA
1223G0001X
General Practice Dentistry
Primary
61318
CA
Other
Enumeration date
12/14/2015
Last updated
12/14/2015
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