| Vladimir Polyakov, D.d.s, Inc. Oral And Maxillofacial Surgery | |
|
9735 Wilshire Blvd Ste 400 Beverly Hills CA 90212-2103 | |
| (310) 772-0700 | |
| Not Available |
| Full Name | Vladimir Polyakov, D.d.s, Inc. Oral And Maxillofacial Surgery |
|---|---|
| Speciality | Dentist - Oral And Maxillofacial Surgery |
| Location | 9735 Wilshire Blvd Ste 400, Beverly Hills, California |
| Authorized Official Name and Position | Vladimir Polyakov (OWNER) |
| Authorized Official Contact | 3107720700 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Vladimir Polyakov, D.d.s, Inc. Oral And Maxillofacial Surgery 9735 Wilshire Blvd Ste 400 Beverly Hills CA 90212-2103 Ph: (310) 772-0700 | Vladimir Polyakov, D.d.s, Inc. Oral And Maxillofacial Surgery 9735 Wilshire Blvd Ste 400 Beverly Hills CA 90212-2103 Ph: (310) 772-0700 |
| NPI Number | 1801913157 |
|---|---|
| Provider Enumeration Date | 03/23/2007 |
| Last Update Date | 09/15/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1801913157 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | 37480 (California) | Primary |
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