Organization
MONA DERENTZ D.D.S., INC
Active
Other names
The Smile Specialists
Organization subpart
No
Provider details
NPI number
Authorized official
MONA DERENTZ DDS, MSD (OWNER, ORTHODONTIST)
(805) 630-4541
Entity
Organization
Contact information
Practice address
19100 VENTURA BLVD STE 3, TARZANA, CA 91356-3234
(818) 925-2599
Mailing address
19100 VENTURA BLVD STE 3, TARZANA, CA 91356-3234
(818) 925-2599
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
—
—
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
—
—
Other
Enumeration date
10/11/2021
Last updated
10/11/2021
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