Provider Demographics
NPI:1740684869
Name:REMOND NOWRY DENTAL CORPORATION
Entity type:Organization
Organization Name:REMOND NOWRY DENTAL CORPORATION
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:REMOND
Authorized Official - Middle Name:
Authorized Official - Last Name:NOWRY
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:818-830-4100
Mailing Address - Street 1:15534 DEVONSHIRE ST UNIT 108
Mailing Address - Street 2:
Mailing Address - City:MISSION HILLS
Mailing Address - State:CA
Mailing Address - Zip Code:91345-2673
Mailing Address - Country:US
Mailing Address - Phone:818-830-4100
Mailing Address - Fax:818-830-8100
Practice Address - Street 1:15534 DEVONSHIRE ST UNIT 108
Practice Address - Street 2:
Practice Address - City:MISSION HILLS
Practice Address - State:CA
Practice Address - Zip Code:91345-2673
Practice Address - Country:US
Practice Address - Phone:818-830-4100
Practice Address - Fax:818-830-8100
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-10-17
Last Update Date:2014-10-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA39192122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Single Specialty