| Ultra Dental Group | |
|
800 San Fernando Rd San Fernando CA 91340-3374 | |
| (818) 898-1818 | |
| Not Available |
| Full Name | Ultra Dental Group |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 800 San Fernando Rd, San Fernando, California |
| Authorized Official Name and Position | Yan Yampolsky (PRESIDENT) |
| Authorized Official Contact | 3105239009 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ultra Dental Group 800 San Fernando Rd San Fernando CA 91340-3374 Ph: (818) 898-1818 | Ultra Dental Group 800 San Fernando Rd San Fernando CA 91340-3374 Ph: (818) 898-1818 |
| NPI Number | 1730598673 |
|---|---|
| Provider Enumeration Date | 08/05/2014 |
| Last Update Date | 08/05/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1730598673 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 61846 (California) | Primary |
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