| Braslavsky Dds, Inc | |
|
7531 Santa Monica Blvd Suite 101 West Hollywood CA 90046 | |
| (323) 876-0346 | |
| (323) 876-7147 |
| Full Name | Braslavsky Dds, Inc |
|---|---|
| Speciality | Dentist |
| Location | 7531 Santa Monica Blvd, West Hollywood, California |
| Authorized Official Name and Position | Faina Braslavsky (SECRETARY) |
| Authorized Official Contact | 3238760346 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Braslavsky Dds, Inc 7531 Santa Monica Blvd Suite 101 West Hollywood CA 90046 Ph: (323) 876-0346 | Braslavsky Dds, Inc 7531 Santa Monica Blvd Suite 101 West Hollywood CA 90046 Ph: (323) 876-0346 |
| NPI Number | 1932503042 |
|---|---|
| Provider Enumeration Date | 10/17/2014 |
| Last Update Date | 10/17/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1932503042 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 31575 (California) | Primary |
| 122300000X | Dentist | 54801 (California) | Secondary |
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