| Polina F Rhoudenko Dds | |
|
100 Laguna Rd Ste 210 Fullerton CA 92835-3633 | |
| (714) 716-1783 | |
| Not Available |
| Full Name | Polina F Rhoudenko Dds |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 100 Laguna Rd Ste 210, Fullerton, California |
| Authorized Official Name and Position | Polina F Rhoudenko (OWNER DENTIST) |
| Authorized Official Contact | 7147161783 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Polina F Rhoudenko Dds 12021 Wilshire Blvd Ste 321 Los Angeles CA 90025-1206 Ph: (714) 716-1783 | Polina F Rhoudenko Dds 100 Laguna Rd Ste 210 Fullerton CA 92835-3633 Ph: (714) 716-1783 |
| NPI Number | 1013679638 |
|---|---|
| Provider Enumeration Date | 10/11/2021 |
| Last Update Date | 10/11/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013679638 | NPI | - | NPPES |
| 106839 | Other | CA | DENTIST |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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