Individual
MR. ALEKSEY FUKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
8205 SANTA MONICA BLVD, SUITE 12, WEST HOLLYWOOD, CA 90046-5967
(323) 650-1001
(323) 650-1633
Mailing address
8205 SANTA MONICA BLVD, SUITE 12, WEST HOLLYWOOD, CA 90046-5967
(323) 650-1001
(323) 650-1633
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
42547
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
G89900
—
CA
05
—
G94070
—
CA
Enumeration date
11/01/2006
Last updated
07/09/2007
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