| Dr Roland Yakubov Dds Dental Corporation | |
|
6428 Bellingham Ave North Hollywood CA 91606-1402 | |
| (818) 985-1407 | |
| Not Available |
| Full Name | Dr Roland Yakubov Dds Dental Corporation |
|---|---|
| Speciality | Dentist |
| Location | 6428 Bellingham Ave, North Hollywood, California |
| Authorized Official Name and Position | Roland Yakubov (PRESIDENT) |
| Authorized Official Contact | 8187268534 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Roland Yakubov Dds Dental Corporation 827 N Hollywood Way Apt 448 Burbank CA 91505-2814 Ph: (818) 726-5834 | Dr Roland Yakubov Dds Dental Corporation 6428 Bellingham Ave North Hollywood CA 91606-1402 Ph: (818) 985-1407 |
| NPI Number | 1538490339 |
|---|---|
| Provider Enumeration Date | 01/19/2010 |
| Last Update Date | 05/31/2022 |
| Medicare PECOS PAC ID | 7618355686 |
|---|---|
| Medicare Enrollment ID | O20220602002258 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1538490339 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 57064 (California) | Primary |
| Provider Name | Roland Yakubov |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1023268513 PECOS PAC ID: 3274853320 Enrollment ID: I20150513002139 |
| Provider Name | Richard John Malouf |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1134240732 PECOS PAC ID: 0143699645 Enrollment ID: I20221205002625 |
| Provider Name | Maria Sharon Belen |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1790973212 PECOS PAC ID: 7214302512 Enrollment ID: I20230418001369 |
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