Roman Pidkova D.d.s., Apc | |
7257 Vassar Ave Ste 100 Canoga Park CA 91303-4410 | |
(818) 347-0340 | |
(818) 347-1606 |
Full Name | Roman Pidkova D.d.s., Apc |
---|---|
Speciality | Dentist - General Practice |
Location | 7257 Vassar Ave Ste 100, Canoga Park, California |
Authorized Official Name and Position | Andrian Krugliy (OFFICE MANAGER) |
Authorized Official Contact | 8183470340 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Roman Pidkova D.d.s., Apc 7257 Vassar Ave Ste 100 Canoga Park CA 91303-4410 Ph: (818) 347-0340 | Roman Pidkova D.d.s., Apc 7257 Vassar Ave Ste 100 Canoga Park CA 91303-4410 Ph: (818) 347-0340 |
NPI Number | 1750593976 |
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Provider Enumeration Date | 05/03/2007 |
Last Update Date | 03/22/2013 |
Identifier | Type | State | Issuer |
---|---|---|---|
1750593976 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223G0001X | Dentist - General Practice | 46126 (California) | Primary |
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