Provider Demographics
NPI:1780425660
Name:HARMONY DENTAL CARE
Entity type:Organization
Organization Name:HARMONY DENTAL CARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:GENERAL DENTIST
Authorized Official - Prefix:DR
Authorized Official - First Name:MARY
Authorized Official - Middle Name:LOUISE
Authorized Official - Last Name:SHOFF
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:818-616-3305
Mailing Address - Street 1:4955 VAN NUYS BLVD STE 716
Mailing Address - Street 2:
Mailing Address - City:SHERMAN OAKS
Mailing Address - State:CA
Mailing Address - Zip Code:91403-1843
Mailing Address - Country:US
Mailing Address - Phone:818-616-3305
Mailing Address - Fax:818-646-0393
Practice Address - Street 1:4955 VAN NUYS BLVD STE 716
Practice Address - Street 2:
Practice Address - City:SHERMAN OAKS
Practice Address - State:CA
Practice Address - Zip Code:91403-1843
Practice Address - Country:US
Practice Address - Phone:818-616-3305
Practice Address - Fax:818-646-0393
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-06-04
Last Update Date:2024-06-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Multi-Specialty