Organization
SERGEY LOKOT DENTAL CORPORATION
Active
Other names
West Valley Oral Surgery Group
Organization subpart
No
Provider details
NPI number
Authorized official
MS. NATALIE KOLKOVICH (OFFICE MANAGER)
(818) 788-4424
Entity
Organization
Contact information
Practice address
5363 BALBOA BLVD STE 233, ENCINO, CA 91316-2824
(818) 788-4424
(818) 788-4426
Mailing address
5363 BALBOA BLVD STE 233, ENCINO, CA 91316-2824
(818) 788-4424
(818) 788-4426
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
58921
CA
Other
Enumeration date
11/11/2015
Last updated
11/11/2015
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