# LANDA MIZIN DENTAL PARTNERSHIP

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Alameda Oral Surgery Group
- **Organization subpart:** No

## Provider details

- **NPI number:** 1962952127
- **Authorized official:** DR. GENNADY LANDA DDS, MD (PRESIDENT)
- **Authorized official phone:** (818) 845-2616

## Contact information

- **Practice address:** 2625 W ALAMEDA AVE STE 502, BURBANK, CA 91505-4816
- **Practice address phone:** (818) 845-2616
- **Mailing address:** 2625 W ALAMEDA AVE STE 502, BURBANK, CA 91505-4816
- **Mailing address phone:** (818) 845-2616

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223S0112X | Oral and Maxillofacial Surgery (Dentist) | — | NULL | Yes |
| 1223S0112X | Oral and Maxillofacial Surgery (Dentist) | — | — | Yes |

## Other

- **Enumeration date:** 10/11/2016
- **Last updated:** 12/02/2024