| Gershfeld Dental Corp | |
|
6001 Laurel Canyon Blvd North Hollywood CA 91606-4615 | |
| (818) 509-9900 | |
| (818) 509-9909 |
| Full Name | Gershfeld Dental Corp |
|---|---|
| Speciality | Dentist |
| Location | 6001 Laurel Canyon Blvd, North Hollywood, California |
| Authorized Official Name and Position | Yury Gershfeld (CORPORATE PRESIDENT DENTIST) |
| Authorized Official Contact | 8185099900 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Gershfeld Dental Corp 6001 Laurel Canyon Blvd North Hollywood CA 91606-4615 Ph: (818) 509-9900 | Gershfeld Dental Corp 6001 Laurel Canyon Blvd North Hollywood CA 91606-4615 Ph: (818) 509-9900 |
| NPI Number | 1497897763 |
|---|---|
| Provider Enumeration Date | 02/13/2007 |
| Last Update Date | 08/26/2013 |
| Medicare PECOS PAC ID | 8224464656 |
|---|---|
| Medicare Enrollment ID | O20200204000540 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497897763 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 40594 (California) | Primary |
| Provider Name | Yury Gershfeld |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1891980116 PECOS PAC ID: 7810280179 Enrollment ID: I20200204000707 |
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