Amerident Health Pro, Inc.

NPI #1689030462 in Marina Del Rey, California

Provider Information

NPI Number: 1689030462
Entity Type: Organization
Organization Name: Amerident Health Pro, Inc.
Subpart: Yes (part of a larger organization)
Parent Organization: AMERIDENT HEALTH PRO, INC.
Primary Specialty: Dentist
Enumeration Date: Jan 8, 2016
Last Updated: Jan 8, 2016

Practice Location

Address: 13155 MINDANAO WAY
City: Marina Del Rey
State: California
ZIP Code: 90292-6307
Phone: (310) 268-0646

Authorized Official

Name: DR. WILLIAM GINZBURG, DDS
Title: PRACTICE OWNER
Phone: (310) 268-0646

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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