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Organization

BURBANK VILLAGE DENTISTRY

Active
Organization subpart
No

Provider details

NPI number
Authorized official
ALEXANDER LEONOV D.D.S (OWNER)
(818) 841-8607
Entity
Organization

Contact information

Practice address
928 N SAN FERNANDO BLVD, E, BURBANK, CA 91504-4350
(818) 841-8607
(818) 841-8414
Mailing address
928 N SAN FERNANDO BLVD, E, BURBANK, CA 91504-4350
(818) 841-8607
(818) 841-8414

Taxonomy

Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary

Other

Enumeration date
04/04/2007
Last updated
08/22/2020
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