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Organization
IDA GANAPOLSKY, D.D.S. A PROFESSIONAL DENTAL CORP.
Active
Organization
IDA GANAPOLSKY, D.D.S. A PROFESSIONAL DENTAL CORP.
Active
Other names
Smiles Dental Practice
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ROSEMARY GARCIA (ADMINISTRATOR)
(323) 269-5221
Entity
Organization
Contact information
Practice address
3356 E OLYMPIC BLVD, LOS ANGELES, CA 90023-3724
(323) 269-5221
(323) 269-5730
Mailing address
3356 E OLYMPIC BLVD, LOS ANGELES, CA 90023-3724
(323) 269-5221
(323) 269-5730
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
34103
CA
Other
Enumeration date
10/15/2007
Last updated
10/15/2007
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