Organization
VLADIMIR POLYAKOV, D.D.S, INC. ORAL AND MAXILLOFACIAL SURGERY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. VLADIMIR POLYAKOV (OWNER)
(310) 772-0700
Entity
Organization
Contact information
Practice address
9735 WILSHIRE BLVD STE 400, BEVERLY HILLS, CA 90212-2103
(310) 772-0700
Mailing address
9735 WILSHIRE BLVD STE 400, BEVERLY HILLS, CA 90212-2103
(310) 772-0700
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
37480
CA
Other
Enumeration date
03/23/2007
Last updated
09/15/2014
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