| Kolchansky Dental Corporation | |
|
665 E Los Angeles Ave Ste D Simi Valley CA 93065-1853 | |
| (805) 577-8333 | |
| (805) 299-4515 |
| Full Name | Kolchansky Dental Corporation |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 665 E Los Angeles Ave Ste D, Simi Valley, California |
| Authorized Official Name and Position | Mark Kolchansky (DENTIST) |
| Authorized Official Contact | 8055778333 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kolchansky Dental Corporation 5292 Lindley Ave Encino CA 91316-3518 Ph: (805) 577-8333 | Kolchansky Dental Corporation 665 E Los Angeles Ave Ste D Simi Valley CA 93065-1853 Ph: (805) 577-8333 |
| NPI Number | 1538295126 |
|---|---|
| Provider Enumeration Date | 02/26/2007 |
| Last Update Date | 09/25/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1538295126 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
J.y. Tokuyama, D.d.s. And L.e. Hansen, D.d.s., A Professional Corporat Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1987 Royal Ave, # 4, Simi Valley, CA 93065 Phone: 805-527-3306 Fax: 805-578-6529 | |
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