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12043 Magnolia Blvd Valley Village CA 91607-2740 | |
| (818) 761-8274 | |
| Not Available |
| Full Name | |
|---|---|
| Speciality | Dentist |
| Location | 12043 Magnolia Blvd, Valley Village, California |
| Authorized Official Name and Position | Anna Kolentsova (PRESIDENT) |
| Authorized Official Contact | 3104302410 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
12043 Magnolia Blvd Valley Village CA 91607-2740 Ph: () - | 12043 Magnolia Blvd Valley Village CA 91607-2740 Ph: (818) 761-8274 |
| NPI Number | 1295556322 |
|---|---|
| Provider Enumeration Date | 10/22/2024 |
| Last Update Date | 12/12/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295556322 | NPI | - | NPPES |
| 1407459746 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | Primary |
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Secondary |
Babrood Dental Corporation Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 12520 Magnolia Blvd Ste 205, Valley Village, CA 91607 Phone: 818-766-7776 Fax: 818-760-3414 | |
Hovsep Nargizyan Professional Dental Corp Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 5216 Laurel Canyon Blvd, Valley Village, CA 91607 Phone: 818-786-8494 Fax: 818-786-8492 | |
Paul D Zau Dds Inc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 12520 Magnolia Blvd Ste 202, Valley Village, CA 91607 Phone: 818-762-2682 | |
Mitchell J Honig, Dds Inc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 12131 Magnolia Blvd, Valley Village, CA 91607 Phone: 818-763-8999 Fax: 818-763-1246 | |
Alexander Gerbakher, D.m.d., Corp. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 12135 Magnolia Blvd, Valley Village, CA 91607 Phone: 626-390-6874 |