| Burbank Village Dentistry | |
|
928 N San Fernando Blvd E Burbank CA 91504-4350 | |
| (818) 841-8607 | |
| (818) 841-8414 |
| Full Name | Burbank Village Dentistry |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 928 N San Fernando Blvd, Burbank, California |
| Authorized Official Name and Position | Alexander Leonov (OWNER) |
| Authorized Official Contact | 8188418607 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Burbank Village Dentistry 928 N San Fernando Blvd E Burbank CA 91504-4350 Ph: (818) 841-8607 | Burbank Village Dentistry 928 N San Fernando Blvd E Burbank CA 91504-4350 Ph: (818) 841-8607 |
| NPI Number | 1780706267 |
|---|---|
| Provider Enumeration Date | 04/04/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780706267 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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