Hall Dental Group Studio City,pc
Clinic/Center, Dental in Valley Village, CA. Organization (NPI-2).
NPI number1841007390
StatusActive
Last updated in NPPESDec 17, 2024
Details
- NPI
- 1841007390
- Entity type
- Organization (NPI-2)
- Legal business name
- Hall Dental Group Studio City,pc
- Organization subpart
- No
- Enumeration date
- Dec 17, 2024
- Certification date
- Dec 17, 2024
- Last updated
- Dec 17, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QD0000X | Clinic/Center, Dental | – | – | Yes |
Other names
- Studio City Dental Group (Doing Business As)
Practice location
12840 Riverside Dr Ste 508Valley Village, CA 91607-3339
Phone 818-506-2424 · Fax 818-763-5679
Mailing address
12840 Riverside Dr Ste 508Valley Village, CA 91607-3339
Phone 818-506-2424 · Fax 818-763-5679
Authorized official
Aja H Hall
Owner
9254057781
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