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Organization
SOPHIA ROZOV DDS, INC
Active
Organization
SOPHIA ROZOV DDS, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SOPHIA ROZOV DDS (CEO)
(818) 705-7900
Entity
Organization
Contact information
Practice address
19233 VENTURA BLVD, TARZANA, CA 91356-3122
(818) 635-9141
(818) 705-7940
Mailing address
5640 ETIWANDA AVE, # 5, TARZANA, CA 91356-2700
(818) 705-7900
(818) 705-7940
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
45820
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
02-45820
DELTA DENTAL
CA
01
—
G93356-02
DENTI-CAL
CA
Enumeration date
03/20/2007
Last updated
07/17/2007
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