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SHULZHENKO DENTAL INC NPI 1164641049


NPI Profile

NPI: 1164641049
Provider Name: SHULZHENKO DENTAL, INC
Classification:Dentist - 1223G0001X
Entity Type: Organization

Specialization: General Practice

Address:
10975 GLENOAKS BLVD
PACOIMA, CA
ZIP 91331
Get Directions

Phone: (818) 890-9990

SHULZHENKO DENTAL, INC is a general practice dentist in Pacoima, CA. The provider is a general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. SHULZHENKO DENTAL, INC NPI is 1164641049. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

10975 GLENOAKS BLVD
PACOIMA, CA
ZIP 91331-632
Phone: (818) 890-9990
Fax: (818) 890-9144

The provider's authorized official is Larysa Shulzhenko .
The authorized official title is President and has the following contact phone number (818) 890-9990.

The enumeration date for this NPI number is 4/25/2007 and was last updated on 9/14/2011.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
11223G0001XDentistGeneral Practice53649CALIFORNIAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 10/10/2021

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