Provider Demographics
NPI:1194118604
Name:GARFINKLE DENTAL CORPORATION
Entity type:Organization
Organization Name:GARFINKLE DENTAL CORPORATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:GENERAL DENTIST
Authorized Official - Prefix:
Authorized Official - First Name:ADAM
Authorized Official - Middle Name:JOSEPH
Authorized Official - Last Name:GARFINKLE
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:248-941-3140
Mailing Address - Street 1:29020 AGOURA RD STE A8
Mailing Address - Street 2:
Mailing Address - City:AGOURA HILLS
Mailing Address - State:CA
Mailing Address - Zip Code:91301-2589
Mailing Address - Country:US
Mailing Address - Phone:248-941-3140
Mailing Address - Fax:
Practice Address - Street 1:29020 AGOURA RD STE A8
Practice Address - Street 2:
Practice Address - City:AGOURA HILLS
Practice Address - State:CA
Practice Address - Zip Code:91301-2589
Practice Address - Country:US
Practice Address - Phone:248-941-3140
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-03-07
Last Update Date:2015-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA616141223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty