NPI | 1194054866 |
---|---|
Other Name | BURBANK VILLAGE DENTISTRY |
Entity Type | Organization |
Authorized Contact | ALEXANDER LEONOV Owner 818-841-8607 |
Organization Subpart ? | No |
Primary Taxonomy | 261QD0000X Clinic/Center Dental (Licence: CA 36127) |
Enumeration Date | 2009-12-09 |
Last Update Date | 2009-12-09 |