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Organization
ALEKSEI DOLGOV DDS INC
Active
Organization
ALEKSEI DOLGOV DDS INC
Active
Other names
Porter Ranch Dental Studio
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ALEKSEI DOLGOV DDS (OWNER)
(818) 368-8522
Entity
Organization
Contact information
Practice address
11200 CORBIN AVE STE 208, PORTER RANCH, CA 91326-4120
(614) 309-1050
(818) 368-8544
Mailing address
11200 CORBIN AVE STE 208, PORTER RANCH, CA 91326-4120
(614) 309-1050
(818) 368-8544
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1316514565
DENTAL
—
Enumeration date
02/28/2023
Last updated
02/28/2023
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