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Reseda Village Dental Studio
Preferred Provider Organization in Reseda, California
NPI 1639491004

Reseda Village Dental Studio is a Preferred Provider Organization based in Reseda, CA. Reseda Village Dental Studio practices in Reseda, CA. The NPI Number for Reseda Village Dental Studio is 1639491004 and holds a License No. 54191 (California).

The current practice location address for Reseda Village Dental Studio is 18700 Sherman Way Ste 116, Reseda, CA and can be reached out via phone at 818-757-7070 and via fax at 818-757-7788.

Location: 18700 Sherman Way Ste 116, Reseda, CA, 91335-9101
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1639491004
Provider Name
Reseda Village Dental Studio
Credential
Provider Entity Type
Organization
Address
18700 Sherman Way Ste 116, Reseda, CA, 91335-9101
Phone Number
818-757-7070
Fax Number
818-757-7788
Provider Enumeration Date
02/25/2010
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
525031 01 CA MEDI-CAL
institution
Provider Business Practice Location Address Details
Address
18700 Sherman Way Ste 116
City
Reseda
State
California
Zip
91335-9101
Phone Number
818-757-7070
Fax Number
818-757-7788
person
Provider Business Mailing Address Details
Address
18700 Sherman Way Ste 116
City
Reseda
State
California
Zip
91335-9101
Phone Number
818-757-7070
Fax Number
818-757-7788
person
Provider's Taxonomy Details 1
Type
Managed Care Organizations
Classification
Preferred Provider Organization
Speciality
-
Taxonomy
305R00000X
License No.
54191 (California)
Definition
A group of physicians and/or hospitals who contract with an employer to provide services to their employees. In a PPO, the patient may got to the physician of his/her choice, even if that physician does not participate in the PPO, but the patient receives care at a lower benefit level.
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