| Gennady Orlovetsky, D.d.s., Inc. | |
|
2780 Tapo Canyon Rd Ste. A-1b Simi Valley CA 93063-6840 | |
| (805) 520-1711 | |
| (805) 520-1511 |
| Full Name | Gennady Orlovetsky, D.d.s., Inc. |
|---|---|
| Speciality | Dentist |
| Location | 2780 Tapo Canyon Rd, Simi Valley, California |
| Authorized Official Name and Position | Lyudmila Preys (OFFICE MANAGER) |
| Authorized Official Contact | 8055201711 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Gennady Orlovetsky, D.d.s., Inc. 2780 Tapo Canyon Rd Ste. A-1b Simi Valley CA 93063-6840 Ph: (805) 520-1711 | Gennady Orlovetsky, D.d.s., Inc. 2780 Tapo Canyon Rd Ste. A-1b Simi Valley CA 93063-6840 Ph: (805) 520-1711 |
| NPI Number | 1902204019 |
|---|---|
| Provider Enumeration Date | 12/05/2014 |
| Last Update Date | 12/05/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902204019 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (California) | Primary |
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