Organization
AMERIDENT HEALTH PRO, INC.
Active
Parent organization
AMERIDENT HEALTH PRO, INC.
Other names
Marina Family Dentistry
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
13155 MINDANAO WAY, MARINA DEL REY, CA 90292-6307
(310) 268-0646
(310) 268-0536
Mailing address
13155 MINDANAO WAY, MARINA DEL REY, CA 90292-6307
(310) 268-0646
(310) 268-0536
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
40241
CA
Other
Enumeration date
01/08/2016
Last updated
01/08/2016
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