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Organization
VLADIMIR VYSOTSKY DENTAL CORP
Active
Organization
VLADIMIR VYSOTSKY DENTAL CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VLADIMIR VYSOTSKY DDS (OWNER)
(818) 701-9400
Entity
Organization
Contact information
Practice address
19520 NORDHOFF ST, SUITE #17, NORTHRIDGE, CA 91324-2428
(818) 701-9400
(818) 701-9083
Mailing address
19520 NORDHOFF ST, SUITE #17, NORTHRIDGE, CA 91324-2428
(818) 701-9400
(818) 701-9083
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
CA
Other
Enumeration date
06/03/2014
Last updated
11/14/2014
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