Organization
DR. KOLODNER DENTAL GROUP, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TATYANA KOLODNER DDS (SECRETARY)
(818) 761-9526
Entity
Organization
Contact information
Practice address
12215 VENTURA BLVD, SUITE 115, STUDIO CITY, CA 91604-2533
(818) 761-9526
(818) 755-6757
Mailing address
12215 VENTURA BLVD, SUITE 115, STUDIO CITY, CA 91604-2533
(818) 761-9526
(818) 755-6757
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
1223E0200X
Endodontics
—
—
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
—
—
Other
Enumeration date
07/18/2013
Last updated
07/18/2013
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