Anatoly Vaisan Dds Inc in San Fernando - Dental
Anatoly Vaisan Dds Inc - NPI 1023166600
Anatoly Vaisan Dds Inc is a Dental in San Fernando, California. Anatoly Vaisan Dds Inc practices all healthcare services and medical treatments related to Dental. The NPI Number for Anatoly Vaisan Dds Inc is 1023166600. The last update date is 2017-10-23.
Anatoly Vaisan Dds Inc's current location address is 11273 Laurel Canyon Blvd, San Fernando, California. You can contact this provider via phone number 8183657191 and fax number 8183617641. The mailing address for Anatoly Vaisan Dds Inc is 11273 Laurel Canyon Blvd, San Fernando, California. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Anatoly Vaisan Dds Inc |
|---|---|
| Address | 11273 Laurel Canyon Blvd, San Fernando, California |
| Phone Number | 8183657191 |
| Fax Number | 8183617641 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OWNER/DENT |
|---|---|
| Authorized Official Name | Vaisman Anatoly |
| Credentials | DDS |
| Telephone Number | 8183657191 |
NPI Number Detail
| NPI Number | 1023166600 |
|---|---|
| Provider Enumeration Date | 2007-01-08 |
| Last Updated Date | 2017-10-23 |
Provider Mailing Address Detail
| Address | 11273 Laurel Canyon Blvd |
|---|---|
| City | San Fernando |
| State | California (CA) |
| Post Code | 913404300 |
| Phone Number | 8183657191 |
| Fax Number | 8183617641 |
Provider's Primary Taxonomy Detail
| Speciality | Dental |
|---|---|
| Taxonomy | 261Qd0000X |
| Licence No | 88476-48 |
|
Definition: Provides general and specialized dental care and oral surgery. |
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What is the unique 10-digit identification code issued to Anatoly Vaisan Dds Inc by the Centers for Medicare & Medicaid Services?
The Anatoly Vaisan Dds Inc has been assigned the NPI (National Provider Identifier) 1023166600 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Where is the Anatoly Vaisan Dds Inc located?
The Anatoly Vaisan Dds Inc is located at 11273 Laurel Canyon Blvd, San Fernando, CA 913404300.
What is Anatoly Vaisan Dds Inc's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Anatoly Vaisan Dds Inc is Dental, and the taxonomy code that classifies this field of practice is 261Qd0000X.
On what date did the Anatoly Vaisan Dds Inc receive its 1023166600 assignment from the Centers for Medicare & Medicaid Services?
The Anatoly Vaisan Dds Inc was assigned its 1023166600 by the Centers for Medicare & Medicaid Services on 2007-01-08.
When was the Anatoly Vaisan Dds Inc's information last updated?
The Anatoly Vaisan Dds Inc's information was last updated on 2017-10-23.
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