DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

HEAVENLY DENTAL

Active Organization

HEAVENLY DENTAL is a Dentist organization located in SAN FERNANDO, California. NPI 1790823698 is currently active in the NPPES registry. Verify at CMS.

Dentist · SAN FERNANDO, CA

Registration Details

NPI Number
1790823698
Provider Type
Organization
NPI Issued
Feb 2, 2007 (19.527518755501 yrs)
Last Updated
Aug 22, 2020
License
39149 (CA)

Practice Information

Address
321 N MACLAY AVE
SUITE A
SAN FERNANDO, CA, 91340
Browse CA providers · Browse ZIP 91340
Phone
8188379744
Fax
8188379303
Primary Specialty
Dentist
122300000X

Other Dentist Organizations in SAN FERNANDO, CA

Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.