Organization
BERSHADSKY DENTAL CORPORATION
Active
Parent organization
BERSHADSKY DENTAL CORPORATION
Other names
West Valley Dental
Organization subpart
Yes
Provider details
NPI number
Legal business name
BERSHADSKY DENTAL CORPORATION
Authorized official
YURY BERSHADSKY DDS (DENTIST)
(818) 883-7979
Entity
Organization
Contact information
Practice address
6543 TOPANGA CANYON BLVD, WOODLAND HILLS, CA 91303-2622
(818) 883-7979
(818) 883-4498
Mailing address
6543 TOPANGA CANYON BLVD, WOODLAND HILLS, CA 91303-2622
(818) 883-7979
(818) 883-4498
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1255545976
NPI
CA
Enumeration date
02/26/2018
Last updated
02/26/2018
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