Organization
NGUYEN TABARI DENTAL INC
Active
Other names
All About Smile Dental Grp
Organization subpart
No
Provider details
NPI number
Authorized official
MYRA WOLFINBARGER (MANAGER)
(909) 987-8835
Entity
Organization
Contact information
Practice address
16133 VENTURA BLVD STE 1120, ENCINO, CA 91436-2415
(818) 788-0651
Mailing address
16133 VENTURA BLVD STE 1120, ENCINO, CA 91436-2415
(818) 788-0651
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
03/27/2019
Last updated
03/27/2019
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