Organization
WEINGARTEN DDS INC
Active
Other names
Lilac Pediatric Dental
Organization subpart
No
Provider details
NPI number
Authorized official
DR. FLYNNE V WEINGARTEN DDS (PRESIDENT, OWNER)
(574) 303-2533
Entity
Organization
Contact information
Practice address
12660 RIVERSIDE DR STE 210, VALLEY VILLAGE, CA 91607-3430
(818) 284-6018
Mailing address
4213 FARMDALE AVE, STUDIO CITY, CA 91604-2939
(157) 430-3253
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
04/26/2024
Last updated
04/26/2024
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