Organization
GINA DEEB D.D.S., A PROFESSIONAL DENTAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GINA DEEB D.D.S. (PRESIDENT)
(213) 598-7000
Entity
Organization
Contact information
Practice address
12660 RIVERSIDE DR, SUITE 240, VALLEY VILLAGE, CA 91607-3429
(818) 760-8966
Mailing address
4570 CHARMION LN, ENCINO, CA 91316-3958
(213) 598-7000
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
38984
CA
Other
Enumeration date
05/31/2008
Last updated
05/31/2008
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