Organization
BELLINGHAM DENTAL GROUP INC DR ROLAND YAKUBOV
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROLAND YAKUBOV DDS (PRESIDENT)
(818) 726-8534
Entity
Organization
Contact information
Practice address
6430 BELLINGHAM AVE, NORTH HOLLYWOOD, CA 91606-1402
(818) 985-1148
Mailing address
6430 BELLINGHAM AVE, NORTH HOLLYWOOD, CA 91606-1402
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
57064
CA
Other
Enumeration date
03/14/2013
Last updated
03/14/2013
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