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Organization
YAMPOSLKY, GERSHFELD DENTAL CORPORATION
Active
Organization
YAMPOSLKY, GERSHFELD DENTAL CORPORATION
Active
Other names
Ultra Dental Group
Organization subpart
No
Provider details
NPI number
Authorized official
YAN YAMPOLSKY (PRESIDENT)
(310) 523-9009
Entity
Organization
Contact information
Practice address
800 SAN FERNANDO RD, SAN FERNANDO, CA 91340-3374
(818) 898-1818
Mailing address
800 SAN FERNANDO RD, SAN FERNANDO, CA 91340-3374
(818) 898-1818
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
61846
CA
Other
Enumeration date
08/05/2014
Last updated
08/05/2014
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