# DR. KOLODNER DENTAL GROUP, INC.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1932541059
- **Authorized official:** DR. TATYANA KOLODNER DDS (SECRETARY)
- **Authorized official phone:** (818) 761-9526

## Contact information

- **Practice address:** 12215 VENTURA BLVD, SUITE 115, STUDIO CITY, CA 91604-2533
- **Practice address phone:** (818) 761-9526
- **Practice address fax:** (818) 755-6757
- **Mailing address:** 12215 VENTURA BLVD, SUITE 115, STUDIO CITY, CA 91604-2533
- **Mailing address phone:** (818) 761-9526
- **Mailing address fax:** (818) 755-6757

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | — | — | Yes |
| 1223E0200X | Endodontics | — | — | — |
| 1223S0112X | Oral and Maxillofacial Surgery (Dentist) | — | — | — |

## Other

- **Enumeration date:** 07/18/2013
- **Last updated:** 07/18/2013