Organization
DR. YURY B. GEYLIKMAN, A PROFESSIONAL DENTAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. YURY B. GEYLIKMAN DMD; PHD (CEO)
(323) 656-9111
Entity
Organization
Contact information
Practice address
2205 E PALMDALE BLVD, PALMDALE, CA 93550-1316
(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
—
B41255-02
DENTICAL
CA
Enumeration date
07/27/2007
Last updated
01/16/2015
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