Individual
DR. GENNADY LANDA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS, MD
Contact information
Practice address
44441 16TH ST W STE 103, LANCASTER, CA 93534-2873
(661) 945-4040
Mailing address
44441 16TH ST W STE 103, LANCASTER, CA 93534-2873
(661) 945-4040
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
53917
CA
208600000X
Surgery Physician
A115339
CA
Other
Enumeration date
07/23/2008
Last updated
12/02/2024
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