| Lancaster Advanced Dental Inc. | |
|
1745 W Avenue K Ste C Lancaster CA 93534-6504 | |
| (661) 723-5400 | |
| (661) 723-3944 |
| Full Name | Lancaster Advanced Dental Inc. |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 1745 W Avenue K Ste C, Lancaster, California |
| Authorized Official Name and Position | Sharona Kohanoff (DENTIST) |
| Authorized Official Contact | 6617235400 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lancaster Advanced Dental Inc. 18301 Rancho St Tarzana CA 91356-4600 Ph: (818) 355-3898 | Lancaster Advanced Dental Inc. 1745 W Avenue K Ste C Lancaster CA 93534-6504 Ph: (661) 723-5400 |
| NPI Number | 1225645633 |
|---|---|
| Provider Enumeration Date | 09/29/2020 |
| Last Update Date | 10/01/2020 |
| Certification Date | 10/01/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1225645633 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (NU) | Primary |
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