Healthcare Provider Details
I. General information
NPI: 1538990338
Provider Name (Legal Business Name): RIMON SAAD DDS, INC.
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 08/13/2024
Last Update Date: 08/13/2024
Certification Date: 08/13/2024
Deactivation Date:
Reactivation Date:
III. Provider practice location address
16055 SHERMAN WAY
VAN NUYS CA
91406-4023
US
IV. Provider business mailing address
16055 SHERMAN WAY
VAN NUYS CA
91406-4023
US
V. Phone/Fax
- Phone: 818-909-0500
- Fax: 818-909-0508
- Phone: 818-486-9258
- Fax: 818-909-0508
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 261QD0000X |
| Taxonomy | Dental Clinic/Center |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: DR.
RIMON
SAAD
Title or Position: DENTIST/PRESIDENT
Credential: DDS
Phone: 818-486-9258