Organization
SARGON LAZAROF D D S INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SARGON LAZAROF (PRESIDENT)
(818) 380-9057
Entity
Organization
Contact information
Practice address
16101 VENTURA BLVD STE 350, ENCINO, CA 91436-2516
(818) 380-9057
Mailing address
16101 VENTURA BLVD STE 350, ENCINO, CA 91436-2516
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
12/16/2021
Last updated
02/10/2022
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