Provider Demographics
NPI:1023216637
Name:GARY S. FINER, DDS INC.
Entity Type:Organization
Organization Name:GARY S. FINER, DDS INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:GARY
Authorized Official - Middle Name:S
Authorized Official - Last Name:FINER
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:818-240-3368
Mailing Address - Street 1:500 N CENTRAL AVE
Mailing Address - Street 2:SUITE 760
Mailing Address - City:GLENDALE
Mailing Address - State:CA
Mailing Address - Zip Code:91203-3905
Mailing Address - Country:US
Mailing Address - Phone:818-240-3368
Mailing Address - Fax:818-240-2367
Practice Address - Street 1:500 N CENTRAL AVE
Practice Address - Street 2:SUITE 760
Practice Address - City:GLENDALE
Practice Address - State:CA
Practice Address - Zip Code:91203-3905
Practice Address - Country:US
Practice Address - Phone:818-240-3368
Practice Address - Fax:818-240-2367
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-07-05
Last Update Date:2013-04-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA29268261QD0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental