| Alpha Denatl Group | |
|
14378 Ventura Blvd Sherman Oaks CA 91423-2756 | |
| (818) 907-8383 | |
| (818) 907-8380 |
| Full Name | Alpha Denatl Group |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 14378 Ventura Blvd, Sherman Oaks, California |
| Authorized Official Name and Position | Kirill Z. Kvitko (PRESIDENT) |
| Authorized Official Contact | 8189078383 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Alpha Denatl Group 14378 Ventura Blvd Sherman Oaks CA 91423-2756 Ph: (818) 907-8383 | Alpha Denatl Group 14378 Ventura Blvd Sherman Oaks CA 91423-2756 Ph: (818) 907-8383 |
| NPI Number | 1275759912 |
|---|---|
| Provider Enumeration Date | 04/18/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275759912 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 45382 (California) | Primary |
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