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Organization

AMERIDENT HEALTH PRO, INC.

Active
Parent organization
AMERIDENT HEALTH PRO, INC.
Organization subpart
Yes

Provider details

NPI number
Legal business name
AMERIDENT HEALTH PRO, INC.
Authorized official
DR. WILLIAM GINZBURG DDS (PRACTICE OWNER)
(310) 268-0646
Entity
Organization

Contact information

Practice address
3130 S SEPULVEDA BLVD, SUITE D, LOS ANGELES, CA 90034-4215
(310) 268-0646
(310) 268-0536
Mailing address
3130 S SEPULVEDA BLVD, SUITE D, LOS ANGELES, CA 90034-4215
(310) 268-0646
(310) 268-0536

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
40241
CA

Other

Enumeration date
01/06/2016
Last updated
01/06/2016
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