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Organization
SYLMAR DENTAL CORP.
Active
Organization
SYLMAR DENTAL CORP.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. VYNIAMIN G GURALNIK D.D.S (PRESIDENT)
(818) 365-9177
Entity
Organization
Contact information
Practice address
12610 GLENOAKS BLVD FL 2, SYLMAR, CA 91342-4785
(818) 365-9177
(818) 361-6697
Mailing address
12610 GLENOAKS BLVD FL 2, SYLMAR, CA 91342-4785
(818) 365-9177
(818) 361-6697
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
30218
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
30218
—
CA
Enumeration date
07/29/2014
Last updated
07/29/2014
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