| Sylmar Dental Corp. | |
|
12610 Glenoaks Blvd Fl 2 Sylmar CA 91342-4785 | |
| (818) 365-9177 | |
| (818) 361-6697 |
| Full Name | Sylmar Dental Corp. |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 12610 Glenoaks Blvd Fl 2, Sylmar, California |
| Authorized Official Name and Position | Vyniamin G Guralnik (PRESIDENT) |
| Authorized Official Contact | 8183659177 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Sylmar Dental Corp. 12610 Glenoaks Blvd Fl 2 Sylmar CA 91342-4785 Ph: (818) 365-9177 | Sylmar Dental Corp. 12610 Glenoaks Blvd Fl 2 Sylmar CA 91342-4785 Ph: (818) 365-9177 |
| NPI Number | 1104234665 |
|---|---|
| Provider Enumeration Date | 07/29/2014 |
| Last Update Date | 07/29/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104234665 | NPI | - | NPPES |
| 30218 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 30218 (California) | Primary |
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