Provider Demographics
NPI:1679732192
Name:MICHAEL SEDLER, D.D.S., A.P.C.
Entity Type:Organization
Organization Name:MICHAEL SEDLER, D.D.S., A.P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:
Authorized Official - Last Name:SEDLER
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:818-753-4800
Mailing Address - Street 1:11509 BURBANK BLVD
Mailing Address - Street 2:
Mailing Address - City:NORTH HOLLYWOOD
Mailing Address - State:CA
Mailing Address - Zip Code:91601-2309
Mailing Address - Country:US
Mailing Address - Phone:818-753-4800
Mailing Address - Fax:818-753-4820
Practice Address - Street 1:11509 BURBANK BLVD
Practice Address - Street 2:
Practice Address - City:NORTH HOLLYWOOD
Practice Address - State:CA
Practice Address - Zip Code:91601-2309
Practice Address - Country:US
Practice Address - Phone:818-753-4800
Practice Address - Fax:818-753-4820
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-06-09
Last Update Date:2008-06-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA325021223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Multi-Specialty