Individual
DR. ANATOLY VAISMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
11273 LAUREL CANYON BLVD, SUITE #3, SAN FERNANDO, CA 91340-4300
(818) 365-7191
(818) 361-7641
Mailing address
11273 LAUREL CANYON BLVD, SUITE #3, SAN FERNANDO, CA 91340-4300
(818) 365-7191
(818) 361-7641
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
43259
CA
Other
Enumeration date
01/08/2007
Last updated
07/08/2007
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