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Organization

DR YURY GEYLIKMAN PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. YURY GEYLIKMAN DMD; PHD (CEO)
(323) 656-9111
Entity
Organization

Contact information

Practice address
928 N SAN FERNANDO BLVD, BURBANK, CA 91504-4350
(323) 656-9111
(323) 650-9669
Mailing address
3940 LAUREL CANYON BLVD, #388, STUDIO CITY, CA 91604-3709
(323) 656-9111
(323) 650-9669

Taxonomy

Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
41255
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
B41255-05
MEDICAL
CA
Enumeration date
07/27/2007
Last updated
09/12/2007
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