| Dr. Yury B. Geylikman, A Professional Dental Corporation | |
|
1745 W Avenue K Suite C Lancaster CA 93534-6501 | |
| (323) 656-9111 | |
| (323) 650-9669 |
| Full Name | Dr. Yury B. Geylikman, A Professional Dental Corporation |
|---|---|
| Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
| Location | 1745 W Avenue K, Lancaster, California |
| Authorized Official Name and Position | Yury B. Geylikman (CEO) |
| Authorized Official Contact | 3236569111 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dr. Yury B. Geylikman, A Professional Dental Corporation 3940 Laurel Canyon Blvd #388 Studio City CA 91604-3709 Ph: (323) 656-9111 | Dr. Yury B. Geylikman, A Professional Dental Corporation 1745 W Avenue K Suite C Lancaster CA 93534-6501 Ph: (323) 656-9111 |
| NPI Number | 1861682759 |
|---|---|
| Provider Enumeration Date | 07/27/2007 |
| Last Update Date | 01/16/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1861682759 | NPI | - | NPPES |
| B41255-01 | Other | CA | DENTICAL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | 41255 (California) | Primary |
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