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Organization
KOLCHANSKY DENTAL CORPORATION
Active
Organization
KOLCHANSKY DENTAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARK KOLCHANSKY D.D.S (DENTIST)
(805) 577-8333
Entity
Organization
Contact information
Practice address
665 E LOS ANGELES AVE STE D, SIMI VALLEY, CA 93065-1853
(805) 577-8333
(805) 299-4515
Mailing address
5292 LINDLEY AVE, ENCINO, CA 91316-3518
(805) 577-8333
(805) 299-4515
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
02/26/2007
Last updated
09/25/2014
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