Oleg Krutikov Dds Inc | |
6280 Van Noord Ave Valley Glen CA 91401-3226 | |
(818) 908-0188 | |
(818) 908-0188 |
Full Name | Oleg Krutikov Dds Inc |
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Speciality | Dentist |
Location | 6280 Van Noord Ave, Valley Glen, California |
Authorized Official Name and Position | Oleg Krutikov (PRESIDENT DENTIST) |
Authorized Official Contact | 8189080188 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Oleg Krutikov Dds Inc 6280 Van Noord Ave Valley Glen CA 91401-3226 Ph: (818) 908-0188 | Oleg Krutikov Dds Inc 6280 Van Noord Ave Valley Glen CA 91401-3226 Ph: (818) 908-0188 |
NPI Number | 1699807404 |
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Provider Enumeration Date | 03/09/2007 |
Last Update Date | 08/22/2020 |
Identifier | Type | State | Issuer |
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1699807404 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
122300000X | Dentist | 48733 (California) | Primary |