NPI 1164641049

Shulzhenko Dental, INC

Organisation General Practice Dentistry Pacoima, CA

Practice location

Address: 10975 Glenoaks Blvd, Pacoima, CA 91331-1632
Phone: (818) 890-9990
Fax: (818) 890-9144

Authorised official

Name: Larysa Shulzhenko
Title: President
Phone: (818) 890-9990

Registered specialties

General Practice Dentistry Primary

Dental Providers Taxonomy 1223G0001X Licence 53649 (CA)

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Registry record

NPI: 1164641049
Entity type: Organization
NPI issued: 25 Apr 2007
Record last updated: 14 Sep 2011

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.