San Fernando Dental Care

NPI #1619126174 in San Fernando, California

Provider Information

NPI Number: 1619126174
Entity Type: Organization
Organization Name: San Fernando Dental Care
Primary Specialty: Dentist
Enumeration Date: Sep 9, 2008
Last Updated: Sep 9, 2008

Practice Location

Address: 1240 TRUMAN ST
Address 2: STE 200
City: San Fernando
State: California
ZIP Code: 91340
Phone: (818) 365-7107

Authorized Official

Name: MRS. CATHERINE CARMMA GEORGE
Title: ADMINISTRATOR
Phone: (818) 365-7107

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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