# ALEKSEY FUKS,D.D.S., INC.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Magnolia Family Dentistry
- **Organization subpart:** No

## Provider details

- **NPI number:** 1720106982
- **Authorized official:** MR. ALEKSEY FUKS D.D.S. (OWNER)
- **Authorized official phone:** (818) 980-7222

## Contact information

- **Practice address:** 11300 MAGNOLIA BLVD, SUITE 5, NORTH HOLLYWOOD, CA 91601-3772
- **Practice address phone:** (818) 980-7222
- **Practice address fax:** (818) 508-1770
- **Mailing address:** 11300 MAGNOLIA BLVD, SUITE 5, NORTH HOLLYWOOD, CA 91601-3772
- **Mailing address phone:** (818) 980-7222
- **Mailing address fax:** (818) 508-1770

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | 42547 | CA | Yes |

## Other

- **Enumeration date:** 03/27/2007
- **Last updated:** 08/22/2020

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | G89900-01 | — | CA |