| Alameda Oral Surgery Group | |
|
2625 W Alameda Ave Ste 502 Burbank CA 91505 | |
| (818) 845-2616 | |
| Not Available |
| Full Name | Alameda Oral Surgery Group |
|---|---|
| Speciality | Dentist - Oral And Maxillofacial Surgery |
| Location | 2625 W Alameda Ave Ste 502, Burbank, California |
| Authorized Official Name and Position | Gennady Landa (PRESIDENT) |
| Authorized Official Contact | 8188452616 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Alameda Oral Surgery Group 2625 W Alameda Ave Ste 502 Burbank CA 91505-4816 Ph: (818) 845-2616 | Alameda Oral Surgery Group 2625 W Alameda Ave Ste 502 Burbank CA 91505 Ph: (818) 845-2616 |
| NPI Number | 1962952127 |
|---|---|
| Provider Enumeration Date | 10/11/2016 |
| Last Update Date | 08/09/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962952127 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | (* (Not Available)) | Primary |
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