Individual
DR. ADI AVITAL GENISH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.D.S.
Contact information
Practice address
17777 VENTURA BLVD. 11, SUITE #210, ENCINO, CA 91316-3736
(818) 335-0654
Mailing address
7811 COWPER AVE, WEST HILLS, CA 91304
(818) 335-0654
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
62682
CA
Other
Enumeration date
01/28/2014
Last updated
01/28/2014
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