Community Dental Service

NPI #1649340043 in Van Nuys, California

Provider Information

NPI Number: 1649340043
Entity Type: Organization
Organization Name: Community Dental Service
Primary Specialty: Dentist
Enumeration Date: Nov 9, 2006
Last Updated: Aug 22, 2020

Practice Location

Address: 15643 SHERMAN WAY
City: Van Nuys
State: California
ZIP Code: 91406-4135
Phone: (818) 786-2209

Authorized Official

Name: MRS. ELAINE M SALCIDO
Title: CONTRACT SUPERVISOR
Phone: (714) 708-5308

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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