Vanowen Dental Center

NPI #1417142050 in Van Nuys, California

Provider Information

NPI Number: 1417142050
Entity Type: Organization
Organization Name: Vanowen Dental Center
Primary Specialty: Dentist
Enumeration Date: Sep 6, 2007
Last Updated: Sep 6, 2007

Practice Location

Address: 6931 VAN NUYS BLVD STE 100
City: Van Nuys
State: California
ZIP Code: 91405-3937
Phone: (818) 988-8080

Authorized Official

Name: DR. YENI SUTANTO, D.D.S.
Title: BUSINESS PARTNER
Phone: (818) 988-8080

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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