101 DENTAL GROUP
Organization (NPI-2)
Active
Dentist, General Practice
Provider Information
- NPI Number
1760813802- Provider Type
- Organization / Facility (NPI-2)
- Status
- Active
Contact & Location
- Address
- 7259 OWENSMOUTH AVE, CANOGA PARK, CA, 913031530
- Phone
- (818) 999-9900
- Fax
- (818) 999-9978
Specialties & Taxonomies
Dentist, General Practice
Primary License: CA #54634