Misner Dental Corp
NPI #1528250990 in Van Nuys, California
Provider Information
- NPI Number
- 1528250990
- Entity Type
- Organization
- Organization Name
- Misner Dental Corp
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- Aug 9, 2007
- Last Updated
- Jul 3, 2023
Practice Location
- Address
- 14424 VICTORY BLVD
- City
- Van Nuys
- State
- California
- ZIP Code
- 91401-1439
- Phone
- (818) 908-9800
Authorized Official
- Name
- SHAUN URBANOZO
- Title
- CREDENTIALING MANAGER
- Phone
- (719) 323-2362
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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