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Contact Information

ALTUS DENTAL CARE, DIZON DENTAL GROUP INC.
11509 BURBANK BLVD
NORTH HOLLYWOOD, CA91601-2309
 Phone: 818-753-4800
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Endodontics

1223E0200X
Indicates primary specialty

NPI Profile & details for ALTUS DENTAL CARE DIZON DENTAL GROUP INC · (Female)

NPI # 1053946376
Status Active
Credentials
Entity Individual
Enumeration date 03/06/2020
Last updated 03/06/2020 - About 6 years ago
Sole proprietor 1 Not specified
Identifiers Not Available
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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