| |
10545 Victory Blvd North Hollywood CA 91606-3916 | |
(818) 763-9353 | |
(818) 763-6227 |
Full Name | |
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Speciality | Dentist - General Practice |
Location | 10545 Victory Blvd, North Hollywood, California |
Authorized Official Name and Position | Kasra Tajik (DENTIST) |
Authorized Official Contact | 8187639395 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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10545 Victory Blvd North Hollywood CA 91606-3916 Ph: (818) 763-9353 | 10545 Victory Blvd North Hollywood CA 91606-3916 Ph: (818) 763-9353 |
NPI Number | 1710332838 |
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Provider Enumeration Date | 04/26/2016 |
Last Update Date | 04/26/2016 |
Identifier | Type | State | Issuer |
---|---|---|---|
1710332838 | NPI | - | NPPES |
63665 | Other | CA | LICENCE |
61426 | Other | CA | LICENCE |
44505 | Other | CA | LICENCE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223G0001X | Dentist - General Practice | 63665 (California) | Primary |
Altus Dental Care, Dizon Dental Group Inc. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 11509 Burbank Blvd, North Hollywood, CA 91601 Phone: 818-753-4800 | |
Galina Stolyar Dds Professional Dental Corporation Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 11755 Victory Blvd Ste 101, North Hollywood, CA 91606 Phone: 818-761-0010 Fax: 818-761-0012 | |
Arlene Aranes Zapanta Dmd Inc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 8001 Laurel Canyon Blvd, Suite 104, North Hollywood, CA 91605 Phone: 818-767-5782 Fax: 818-504-1959 |