Organization
LANDA MIZIN DENTAL PARTNERSHIP
Active
Other names
Alameda Oral Surgery Group
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GENNADY LANDA DDS, MD (PRESIDENT)
(818) 845-2616
Entity
Organization
Contact information
Practice address
2625 W ALAMEDA AVE STE 502, BURBANK, CA 91505-4816
(818) 845-2616
Mailing address
2625 W ALAMEDA AVE STE 502, BURBANK, CA 91505-4816
(818) 845-2616
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
—
—
Other
Enumeration date
10/11/2016
Last updated
12/02/2024
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