# DR. ROLAND YAKUBOV PROFESSIONAL DENTAL INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1174913404
- **Authorized official:** ROLAND YAKUBOV DMD (DOCTOR)
- **Authorized official phone:** (818) 726-8534

## Contact information

- **Practice address:** 8041 FOOTHILL BLVD, SUNLAND, CA 91040-2957
- **Practice address phone:** (818) 726-8534
- **Mailing address:** 8041 FOOTHILL BLVD, SUNLAND, CA 91040-2957

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | 57064 | CA | Yes |

## Other

- **Enumeration date:** 01/26/2015
- **Last updated:** 11/22/2025

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 1174913404 | — | CA |
| 05 | — | 1235563396 | — | CA |
| 05 | — | 1538490339 | — | CA |
