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Organization
OLEG KRUTIKOV DDS INC
Active
Organization
OLEG KRUTIKOV DDS INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
OLEG KRUTIKOV DDS (PRESIDENT DENTIST)
(818) 908-0188
Entity
Organization
Contact information
Practice address
6280 VAN NOORD AVE, VALLEY GLEN, CA 91401-3226
(818) 908-0188
(818) 908-0188
Mailing address
6280 VAN NOORD AVE, VALLEY GLEN, CA 91401-3226
(818) 908-0188
(818) 908-0188
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
48733
CA
Other
Enumeration date
03/09/2007
Last updated
08/22/2020
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