| Alexander Visot Dds Inc | |
|
23111 Ventura Blvd Suite 104 Woodland Hills CA 91364-1132 | |
| (818) 225-7768 | |
| (818) 616-8235 |
| Full Name | Alexander Visot Dds Inc |
|---|---|
| Speciality | Dentist |
| Location | 23111 Ventura Blvd, Woodland Hills, California |
| Authorized Official Name and Position | Alexander Visot (DENTIST/OWNER) |
| Authorized Official Contact | 8182257768 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Alexander Visot Dds Inc 23111 Ventura Blvd Suite 104 Woodland Hills CA 91364-1132 Ph: (818) 225-7768 | Alexander Visot Dds Inc 23111 Ventura Blvd Suite 104 Woodland Hills CA 91364-1132 Ph: (818) 225-7768 |
| NPI Number | 1750008900 |
|---|---|
| Provider Enumeration Date | 10/27/2022 |
| Last Update Date | 10/27/2022 |
| Medicare PECOS PAC ID | 3870966740 |
|---|---|
| Medicare Enrollment ID | O20230224001218 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1750008900 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
| Provider Name | Alexander Visot |
|---|---|
| Provider Type | Practitioner - Maxillofacial Surgery |
| Provider Identifiers | NPI Number: 1801011739 PECOS PAC ID: 4789057654 Enrollment ID: I20230224001281 |
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