| Gankin Mikhail Dmd, A Dental Corp | |
|
7901 Santa Monica Blvd # 111 West Hollywood CA 90046-5177 | |
| (323) 822-1222 | |
| Not Available |
| Full Name | Gankin Mikhail Dmd, A Dental Corp |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 7901 Santa Monica Blvd # 111, West Hollywood, California |
| Authorized Official Name and Position | Mikhail Gankin (OWNER) |
| Authorized Official Contact | 3238686670 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Gankin Mikhail Dmd, A Dental Corp Po Box 461459 Los Angeles CA 90046-9459 Ph: (323) 868-6670 | Gankin Mikhail Dmd, A Dental Corp 7901 Santa Monica Blvd # 111 West Hollywood CA 90046-5177 Ph: (323) 822-1222 |
| NPI Number | 1326209008 |
|---|---|
| Provider Enumeration Date | 06/24/2008 |
| Last Update Date | 01/26/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1326209008 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 53214 (California) | Primary |
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