| Vladimir Korbatov,dds, Dental Corp | |
|
1019 N Fairfax Ave Fl 2 West Hollywood CA 90046-6160 | |
| (323) 654-2607 | |
| (323) 654-0602 |
| Full Name | Vladimir Korbatov,dds, Dental Corp |
|---|---|
| Speciality | Dentist |
| Location | 1019 N Fairfax Ave Fl 2, West Hollywood, California |
| Authorized Official Name and Position | Vladimir Y Korbatov (GENERAL DENTIST/OWNER) |
| Authorized Official Contact | 3236542607 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Vladimir Korbatov,dds, Dental Corp 1019 N Fairfax Ave Fl 2 West Hollywood CA 90046-6160 Ph: (323) 654-2607 | Vladimir Korbatov,dds, Dental Corp 1019 N Fairfax Ave Fl 2 West Hollywood CA 90046-6160 Ph: (323) 654-2607 |
| NPI Number | 1366852808 |
|---|---|
| Provider Enumeration Date | 05/06/2014 |
| Last Update Date | 05/06/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366852808 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 25564 (California) | Primary |
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