DENTAL WONDERLAND NPI 1659599124

NPI Information

NPI: 1659599124
Provider Name: DENTAL WONDERLAND
Classification: Dentist - 1223E0200X
Entity Type: Organization

Specialization: Endodontics

Address:
8761 VAN NUYS BLVD
PANORAMA CITY, CA
ZIP 91402
Phone: (818) 891-1600
Get Directions

DENTAL WONDERLAND is an endodontics dentist in Panorama City, CA. The provider is the branch of dentistry that is concerned with the morphology, physiology and pathology of the human dental pulp and periradicular tissues. Its study and practice encompass the basic and clinical sciences including biology of the normal pulp, the etiology, diagnosis, prevention and treatment of diseases and injuries of the pulp and associated periradicular conditions. DENTAL WONDERLAND NPI is 1659599124. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

8761 VAN NUYS BLVD
PANORAMA CITY, CA
ZIP 91402-401
Phone: (818) 891-1600
Fax: (818) 891-9571

The provider's authorized official is Sandra Deirmenjian .
The authorized official title is Owner and has the following contact phone number (818) 891-1600.

The enumeration date for this NPI number is 4/23/2007 and was last updated on 8/22/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	1223E0200X	Dentist	Endodontics	54849	CALIFORNIA	Yes
2	1223G0001X	Dentist	General Practice	52129	CALIFORNIA	X
3	1223S0112X	Dentist	Oral and Maxillofacial Surgery	29281	CALIFORNIA	X
4	1223X0400X	Dentist	Orthodontics and Dentofacial Orthopedics	43335	CALIFORNIA	X

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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