Sergey Sirenko Dds A Dental Corporation | |
6221 Wilshire Blvd #307 Los Angeles CA 90048 | |
(323) 937-4014 | |
Not Available |
Full Name | Sergey Sirenko Dds A Dental Corporation |
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Speciality | Dentist - General Practice |
Location | 6221 Wilshire Blvd, Los Angeles, California |
Authorized Official Name and Position | Sergey Sirenko (PRESIDENT) |
Authorized Official Contact | 3104540388 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Sergey Sirenko Dds A Dental Corporation 15515 Sunset Blvd #503 Pacific Palisades CA 90272 Ph: (310) 454-0388 | Sergey Sirenko Dds A Dental Corporation 6221 Wilshire Blvd #307 Los Angeles CA 90048 Ph: (323) 937-4014 |
NPI Number | 1942348107 |
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Provider Enumeration Date | 02/01/2007 |
Last Update Date | 08/22/2020 |
Identifier | Type | State | Issuer |
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1942348107 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223G0001X | Dentist - General Practice | 39886 (California) | Primary |
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