Provider Demographics
NPI:1811267875
Name:DORI & DORI, A DENTAL COMPANY
Entity type:Organization
Organization Name:DORI & DORI, A DENTAL COMPANY
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRINCIPAL/DENTIST
Authorized Official - Prefix:DR
Authorized Official - First Name:MELISSA
Authorized Official - Middle Name:DIANE
Authorized Official - Last Name:DORI
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:818-346-2000
Mailing Address - Street 1:21031 VENTURA BLVD
Mailing Address - Street 2:SUITE 101
Mailing Address - City:WOODLAND HILLS
Mailing Address - State:CA
Mailing Address - Zip Code:91364-2203
Mailing Address - Country:US
Mailing Address - Phone:818-346-2000
Mailing Address - Fax:818-346-2004
Practice Address - Street 1:21031 VENTURA BLVD
Practice Address - Street 2:SUITE 101
Practice Address - City:WOODLAND HILLS
Practice Address - State:CA
Practice Address - Zip Code:91364-2203
Practice Address - Country:US
Practice Address - Phone:818-346-2000
Practice Address - Fax:818-346-2004
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-01-09
Last Update Date:2012-01-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA48597261QD0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental