| Hollywood Family Dentistry | |
|
8205 Santa Monica Blvd Suite 12 West Hollywood CA 90046-5967 | |
| (323) 650-1001 | |
| (323) 650-1633 |
| Full Name | Hollywood Family Dentistry |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 8205 Santa Monica Blvd, West Hollywood, California |
| Authorized Official Name and Position | Aleksey Fuks (OWNER) |
| Authorized Official Contact | 3236501001 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Hollywood Family Dentistry 8205 Santa Monica Blvd Suite 12 West Hollywood CA 90046-5967 Ph: (323) 650-1001 | Hollywood Family Dentistry 8205 Santa Monica Blvd Suite 12 West Hollywood CA 90046-5967 Ph: (323) 650-1001 |
| NPI Number | 1346368404 |
|---|---|
| Provider Enumeration Date | 03/27/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1346368404 | NPI | - | NPPES |
| G94070 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 42547 (California) | Primary |
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