Organization
GEORGE A MARANON ORAL MAXILLOFACIAL SURGERY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GEORGE A. MARANON D.D.S. (OWNER)
(818) 344-0110
Entity
Organization
Contact information
Practice address
18411 CLARK ST, SUITE # 204, TARZANA, CA 91356-3506
(818) 344-0110
(818) 344-0110
Mailing address
18411 CLARK ST, SUITE # 204, TARZANA, CA 91356-3506
(818) 344-0110
(818) 344-0110
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
D32127
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
D32127
MEDICARE PTAN
CA
Enumeration date
10/08/2008
Last updated
10/08/2008
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