Organization
EXPRESS DENTAL
Active
Other names
Express Dental
Organization subpart
No
Provider details
NPI number
Authorized official
TATSIANA ZHAMOITSINA RDHAP (SECRETARY, CHIEF FINANCIAL OFFICER)
(323) 695-2174
Entity
Organization
Contact information
Practice address
4910 VAN NUYS BLVD STE 204, SHERMAN OAKS, CA 91403-1761
(818) 692-1111
(818) 697-0100
Mailing address
4910 VAN NUYS BLVD STE 204, SHERMAN OAKS, CA 91403-1761
(818) 692-1111
(818) 697-0100
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
10/28/2024
Last updated
04/01/2025
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