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Organization
ROMAN PIDKOVA D.D.S., APC
Active
Organization
ROMAN PIDKOVA D.D.S., APC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANDRIAN KRUGLIY (OFFICE MANAGER)
(818) 347-0340
Entity
Organization
Contact information
Practice address
7257 VASSAR AVE STE 100, CANOGA PARK, CA 91303-4410
(818) 347-0340
(818) 347-1606
Mailing address
7257 VASSAR AVE STE 100, CANOGA PARK, CA 91303-4410
(818) 347-0340
(818) 347-1606
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
46126
CA
Other
Enumeration date
05/03/2007
Last updated
03/22/2013
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