Individual
DR. RYAN JACOB HAIMOF
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
15300 VENTURA BLVD. #218, SHERMAN OAKS, CA 91403
(818) 995-7900
Mailing address
15300 VENTURA BLVD STE 218, SHERMAN OAKS, CA 91403-5831
(818) 995-7900
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
63286
CA
Other
Enumeration date
02/09/2014
Last updated
08/18/2014
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