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1629784046
FUNDAMINSKY ORAL FACIAL DDS INC
BEVERLY HILLS, CA
NPI
1629784046
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Entity Type
Organization
Authorized Contact
GENNADY M FUNDAMINSKY
President
310-801-1296
Organization Subpart ?
No
Primary Taxonomy
261QD0000X Clinic/Center, Dental
Enumeration Date
2023-01-30
Last Update Date
2023-01-30
Business Address
FUNDAMINSKY ORAL FACIAL DDS INC
9615 BRIGHTON WAY STE 216
BEVERLY HILLS, CA 90210-5118
Phone number: 310-278-0814
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Mailing Address
FUNDAMINSKY ORAL FACIAL DDS INC
9615 BRIGHTON WAY STE 216
BEVERLY HILLS, CA 90210-5118
Phone number:
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