Organization
ALEKSEI DOLGOV DDS INC
Active
Other names
Porter Ranch Dental Studio
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ALEKSEI DOLGOV DDS (OWNER)
(818) 368-8522
Entity
Organization
Contact information
Practice address
11200 CORBIN AVE STE 208, PORTER RANCH, CA 91326-4120
(614) 309-1050
(818) 368-8544
Mailing address
11200 CORBIN AVE STE 208, PORTER RANCH, CA 91326-4120
(614) 309-1050
(818) 368-8544
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1316514565
DENTAL
—
Enumeration date
02/28/2023
Last updated
02/28/2023
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