Theodrou Professional Dental Group

LBN: Theodorou Professional Dental Corp.
Theodrou Professional Dental Group is an health care organization with primary practice located at 19717 Sherman Way , Canoga Park CA 91306. The organization recently has only one registered license in Dental Providers / Dentist, which is considered as the primary health care specialty. Theodorou Professional Dental Corp. can be contacted via phone (818) 709-0090, or through Theodorou, Nikolaos via phone (818) 709-0090.

Contact Information

Primary practice address
19717 Sherman Way Canoga Park CA 91306
Phone: (818) 709-0090
Fax: (818) 709-6002
Website:
Map and Directions
Authorized official contact:
Name: Theodorou, Nikolaos Doctor of Dental Surgery (DDS)
Phone: (818) 709-0090

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X

Profile Details

NPI number 1225152952
LBN Legal business name Theodorou Professional Dental Corp.
DBA Doing business as Theodrou Professional Dental Group
Authorized official Theodorou, Nikolaos Doctor of Dental Surgery (DDS)
Entity Organization
Organization subpart 1 No
Enumeration date Mar 19th, 2007
Last updated Mar 17th, 2020 - about 6 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1225152952 NPPES
California Other G9133901 DENTICAL

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