| Steve Braslavsky Dds, Inc | |
|
14039 Sherman Way Suite 102 Van Nuys CA 91405 | |
| (818) 474-2253 | |
| (818) 474-9662 |
| Full Name | Steve Braslavsky Dds, Inc |
|---|---|
| Speciality | Dentist |
| Location | 14039 Sherman Way, Van Nuys, California |
| Authorized Official Name and Position | Steve Braslavsky (DOCTOR) |
| Authorized Official Contact | 8184742253 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Steve Braslavsky Dds, Inc 14039 Sherman Way Suite 102 Van Nuys CA 91405 Ph: (818) 474-2253 | Steve Braslavsky Dds, Inc 14039 Sherman Way Suite 102 Van Nuys CA 91405 Ph: (818) 474-2253 |
| NPI Number | 1811387772 |
|---|---|
| Provider Enumeration Date | 01/30/2015 |
| Last Update Date | 08/20/2015 |
| Medicare PECOS PAC ID | 3375973233 |
|---|---|
| Medicare Enrollment ID | O20200417001287 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1811387772 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (California) | Primary |
| Provider Name | Ilya Braslavsky |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1457552473 PECOS PAC ID: 5991135758 Enrollment ID: I20200423002678 |
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