| Charles Young Dds Inc | |
|
12135 Magnolia Blvd Valley Village CA 91607-2609 | |
| (818) 769-1347 | |
| (818) 769-3563 |
| Full Name | Charles Young Dds Inc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 12135 Magnolia Blvd, Valley Village, California |
| Authorized Official Name and Position | Charles Joseph Young (PROVIDER) |
| Authorized Official Contact | 8187691347 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Charles Young Dds Inc 12135 Magnolia Blvd Valley Village CA 91607-2609 Ph: (818) 769-1347 | Charles Young Dds Inc 12135 Magnolia Blvd Valley Village CA 91607-2609 Ph: (818) 769-1347 |
| NPI Number | 1346492212 |
|---|---|
| Provider Enumeration Date | 10/22/2008 |
| Last Update Date | 10/22/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1346492212 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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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 |