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Organization
DR POLINA RHOUDENKO DMD INC
Active
Organization
DR POLINA RHOUDENKO DMD INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. POLINA RHOUDENKO DMD (DENTIST/PRESIDENT)
(714) 716-1783
Entity
Organization
Contact information
Practice address
100 LAGUNA RD STE 210, FULLERTON, CA 92835-3633
(714) 716-1783
Mailing address
12021 WILSHIRE BLVD STE 321, LOS ANGELES, CA 90025-1206
(714) 716-1783
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
106839
DENTIST
CA
05
—
1508448861
—
CA
Enumeration date
10/11/2021
Last updated
05/05/2025
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