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Organization
VLADIMIR POLYAKOV, D.D.S, INC. ORAL AND MAXILLOFACIAL SURGERY
Active
Organization
VLADIMIR POLYAKOV, D.D.S, INC. ORAL AND MAXILLOFACIAL SURGERY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. VLADIMIR POLYAKOV (OWNER)
(310) 772-0700
Entity
Organization
Contact information
Practice address
9735 WILSHIRE BLVD STE 400, BEVERLY HILLS, CA 90212-2103
(310) 772-0700
Mailing address
9735 WILSHIRE BLVD STE 400, BEVERLY HILLS, CA 90212-2103
(310) 772-0700
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
37480
CA
Other
Enumeration date
03/23/2007
Last updated
09/15/2014
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