| Shulzhenko Dental, Inc | |
|
10975 Glenoaks Blvd Pacoima CA 91331-1632 | |
| (818) 890-9990 | |
| (818) 890-9144 |
| Full Name | Shulzhenko Dental, Inc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 10975 Glenoaks Blvd, Pacoima, California |
| Authorized Official Name and Position | Larysa Shulzhenko (PRESIDENT) |
| Authorized Official Contact | 8188909990 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Shulzhenko Dental, Inc 10975 Glenoaks Blvd Pacoima CA 91331-1632 Ph: (818) 890-9990 | Shulzhenko Dental, Inc 10975 Glenoaks Blvd Pacoima CA 91331-1632 Ph: (818) 890-9990 |
| NPI Number | 1164641049 |
|---|---|
| Provider Enumeration Date | 04/25/2007 |
| Last Update Date | 09/14/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164641049 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 53649 (California) | Primary |
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