| 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 |