Organization
WILLIAM GINZBURG DENTAL CENTER INC
Active
Other names
Marina Cosmetic & Implant Center
Organization subpart
No
Provider details
NPI number
Authorized official
WILLIAM GINZBURG DDS (PRESIDENT)
(310) 268-0646
Entity
Organization
Contact information
Practice address
13286 FIJI WAY, MARINA DEL REY, CA 90292-7119
(310) 821-2611
Mailing address
13286 FIJI WAY, MARINA DEL REY, CA 90292-7119
(310) 821-2611
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
—
—
1223G0001X
General Practice Dentistry
—
—
1223P0300X
Periodontics
—
—
1223P0700X
Prosthodontics
—
—
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
—
—
Other
Enumeration date
09/12/2018
Last updated
09/12/2018
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