Organization
MARIE MANSOUR DMD, MS DENTAL CORP
Active
Other names
Central Orthodontics
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARIE CLAIRE MANSOUR DMD, MS (PRESIDENT)
(818) 500-7030
Entity
Organization
Contact information
Practice address
709 S CENTRAL AVE # B, SUITE B, GLENDALE, CA 91204-2010
(818) 500-7030
(818) 500-7040
Mailing address
709 S. CENTRAL AVE #B, GLENDALE, CA 91204
(818) 500-7030
(818) 500-7040
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
51283
CA
Other
Enumeration date
05/23/2007
Last updated
04/11/2013
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