Vickie Greenberg, D.d.s.

NPI 1104029065 - Dentist - 1223X0400X

NPI Details
NPI 1104029065
Enumeration Date 06/07/2007
Last Updated 11/25/2015
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name VICKIE SUE VICKIE
Position ORTHODONTIST
Phone (626) 798-7645
Fax (626) 798-7089
Practice Location
2035 LAKE AVE
ALTADENA CA, 91001-2444, US
Phone (626) 798-7645
Fax (626) 798-7089
Business Location
2035 LAKE AVE
ALTADENA CA, 91001-2444, US
Phone (626) 798-7645
Fax (626) 798-7089
Toxanomy
Taxonomy Code 1223X0400X
License State California
License Number 37112
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According to our database, Vickie Greenberg, D.d.s. NPI is 1104029065, taxonomy code is 1223X0400X and license number is 37112, license state is located at California. Vickie Greenberg, D.d.s. physically located at 2035 Lake Ave, Altadena CA, 91001-2444. NPI Number 1033115704 has the healthcare provider type.

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1104029065 NPI number is provided on an as is basis without warranty of any kind. 1104029065 is maintained by the National Plan & Provider Enumeration System. The contents of Vickie Greenberg, D.d.s. are for informational purposes only.