Individual
DR. VLADIMIR POLYAKOV
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
19231 VICTORY BLVD STE 100, RESEDA, CA 91335-6318
(818) 345-5432
Mailing address
19231 VICTORY BLVD STE 100, RESEDA, CA 91335-6318
(818) 345-5432
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
37480
CA
Other
Enumeration date
09/16/2014
Last updated
07/21/2020
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