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Organization

VLADIMIR KORBATOV,DDS, DENTAL CORP

Active
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Organization

VLADIMIR KORBATOV,DDS, DENTAL CORP

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. VLADIMIR Y KORBATOV D.D.S. (GENERAL DENTIST/OWNER)
(323) 654-2607
Entity
Organization

Contact information

Practice address
1019 N FAIRFAX AVE FL 2, WEST HOLLYWOOD, CA 90046-6160
(323) 654-2607
(323) 654-0602
Mailing address
1019 N FAIRFAX AVE FL 2, WEST HOLLYWOOD, CA 90046-6160
(323) 654-2607
(323) 654-0602

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
25564
CA

Other

Enumeration date
05/06/2014
Last updated
05/06/2014
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