Organization
LANCASTER ADVANCED DENTAL INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SHARONA KOHANOFF DDS (DENTIST)
(661) 723-5400
Entity
Organization
Contact information
Practice address
1745 W AVENUE K STE C, LANCASTER, CA 93534-6504
(661) 723-5400
(661) 723-3944
Mailing address
18301 RANCHO ST, TARZANA, CA 91356-4600
(818) 355-3898
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
09/29/2020
Last updated
10/01/2020
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