NPI: 1689030462 · MARINA DEL REY, CA 90292 · Dentist · NPI assigned 01/08/2016
| Authorized Official | GINZBURG, WILLIAM (PRACTICE OWNER) |
| Parent Organization | AMERIDENT HEALTH PRO, INC. |
| NPI Enumeration Date | 01/08/2016 |
| Year | Claims | Total Paid |
|---|---|---|
| 2019 | 13 | $211.00 |
| 2024 | 56 | $1K |