# GENNADY LANDA, DDS, MD, INC.

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Other names:** Antelope Valley Oral Surgery
- **Organization subpart:** No

## Provider details

- **NPI number:** 1356834675
- **Authorized official:** DR. GENNADY LANDA DDS, MD (PRESIDENT)
- **Authorized official phone:** (818) 970-0253

## Contact information

- **Practice address:** 44441 16TH ST W STE 103, LANCASTER, CA 93534-2873
- **Practice address phone:** (661) 945-4040
- **Practice address fax:** (661) 945-9120
- **Mailing address:** 44441 16TH ST W STE 103, LANCASTER, CA 93534-2873
- **Mailing address phone:** (661) 945-4040
- **Mailing address fax:** (661) 945-9120

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223S0112X | Oral and Maxillofacial Surgery (Dentist) | — | CA | Yes |

## Other

- **Enumeration date:** 06/12/2018
- **Last updated:** 09/10/2025
