Provider Demographics
NPI:1285854018
Name:DR AMIR AND DR HAMER DENTAL
Entity Type:Organization
Organization Name:DR AMIR AND DR HAMER DENTAL
Other - Org Name:DENTAL PLANET
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:CAROLINA
Authorized Official - Middle Name:
Authorized Official - Last Name:MANJARREZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:818-506-2977
Mailing Address - Street 1:6007 LANKERSHIM BLVD STE 9
Mailing Address - Street 2:
Mailing Address - City:NORTH HOLLYWOOD
Mailing Address - State:CA
Mailing Address - Zip Code:91606-4883
Mailing Address - Country:US
Mailing Address - Phone:818-506-2977
Mailing Address - Fax:818-506-4610
Practice Address - Street 1:6007 LANKERSHIM BLVD STE 9
Practice Address - Street 2:
Practice Address - City:NORTH HOLLYWOOD
Practice Address - State:CA
Practice Address - Zip Code:91606-4883
Practice Address - Country:US
Practice Address - Phone:818-506-2977
Practice Address - Fax:818-506-4610
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-26
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA436041223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty