Misner Dental Corp
NPI #1811275670 in Huntington Park, California
Provider Information
- NPI Number
- 1811275670
- Entity Type
- Organization
- Organization Name
- Misner Dental Corp
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- Jul 28, 2011
- Last Updated
- Jul 3, 2023
Practice Location
- Address
- 2621 ZOE AVE
- Address 2
- SUITE A
- City
- Huntington Park
- State
- California
- ZIP Code
- 90255-4131
- Phone
- (818) 335-2100
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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