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Organization
HIGHLAND DENTAL GROUP
Active
Organization
HIGHLAND DENTAL GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SHARONA KOHANOFF DDS (DENTIST)
(818) 355-3898
Entity
Organization
Contact information
Practice address
830 W AVENUE L STE 129, LANCASTER, CA 93534-7210
(661) 418-0066
(661) 418-0266
Mailing address
830 W AVENUE L STE 129, LANCASTER, CA 93534-7210
(661) 418-0266
(661) 418-0281
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1285751057
—
CA
05
—
1336461789
—
CA
Enumeration date
06/03/2020
Last updated
08/12/2020
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