Organization
MICHELLE P H TO DDS A PROFESSIONAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHELLE TO DDS (DENTIST)
(818) 789-3844
Entity
Organization
Contact information
Practice address
12128 VANOWEN ST, NORTH HOLLYWOOD, CA 91605-5651
(818) 647-1188
Mailing address
12128 VANOWEN ST, NORTH HOLLYWOOD, CA 91605-5651
(818) 647-1188
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
—
—
Other
Enumeration date
04/06/2020
Last updated
08/24/2022
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