| Chan And Segulyev Dental Corporation | |
|
500 E Olive Ave Ste. 730 Burbank CA 91501-3316 | |
| (818) 846-6464 | |
| Not Available |
| Full Name | Chan And Segulyev Dental Corporation |
|---|---|
| Speciality | Dentist - Periodontics |
| Location | 500 E Olive Ave, Burbank, California |
| Authorized Official Name and Position | James B Segulyev (PRESIDENT) |
| Authorized Official Contact | 8188466464 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Chan And Segulyev Dental Corporation 500 E Olive Ave Ste. 730 Burbank CA 91501-3316 Ph: (818) 846-6464 | Chan And Segulyev Dental Corporation 500 E Olive Ave Ste. 730 Burbank CA 91501-3316 Ph: (818) 846-6464 |
| NPI Number | 1356550222 |
|---|---|
| Provider Enumeration Date | 05/21/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356550222 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 48993 (California) | Primary |
| 1223P0300X | Dentist - Periodontics | 48514 (California) | Primary |
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