Organization
ENCINO DENTAL GROUP INC A PROFESSIONAL DENTAL CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOSEF MAMALIGER (OWNER)
(818) 654-8300
Entity
Organization
Contact information
Practice address
17777 VENTURA BLVD STE 210, ENCINO, CA 91316-3748
(818) 433-1502
Mailing address
17777 VENTURA BLVD STE 210, ENCINO, CA 91316-3748
(818) 433-1502
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
12/17/2019
Last updated
12/17/2019
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