Organization
GANKIN MIKHAIL DMD, A DENTAL CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MIKHAIL GANKIN DMD (OWNER)
(323) 868-6670
Entity
Organization
Contact information
Practice address
7901 SANTA MONICA BLVD # 111, WEST HOLLYWOOD, CA 90046-5177
(323) 822-1222
Mailing address
PO BOX 461459, LOS ANGELES, CA 90046-9459
(323) 868-6670
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
53214
CA
Other
Enumeration date
06/24/2008
Last updated
01/26/2012
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