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Organization
LANDA MIZIN DENTAL PARTNERSHIP
Active
Organization
LANDA MIZIN DENTAL PARTNERSHIP
Active
Other names
Alameda Oral Surgery Group
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GENNADY LANDA DDS, MD (PRESIDENT)
(818) 845-2616
Entity
Organization
Contact information
Practice address
2625 W ALAMEDA AVE STE 502, BURBANK, CA 91505-4816
(818) 845-2616
Mailing address
2625 W ALAMEDA AVE STE 502, BURBANK, CA 91505-4816
(818) 845-2616
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
—
NULL
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
—
—
Other
Enumeration date
10/11/2016
Last updated
12/02/2024
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