| Victoria Olshansky D D S Inc | |
|
1136 N Fairfax Ave W Hollywood CA 90046-5307 | |
| (323) 650-6936 | |
| Not Available |
| Full Name | Victoria Olshansky D D S Inc |
|---|---|
| Speciality | Dentist |
| Location | 1136 N Fairfax Ave, W Hollywood, California |
| Authorized Official Name and Position | Victoria Olshansky (DOCTOR) |
| Authorized Official Contact | 3236506936 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Victoria Olshansky D D S Inc 1136 N Fairfax Ave W Hollywood CA 90046-5307 Ph: () - | Victoria Olshansky D D S Inc 1136 N Fairfax Ave W Hollywood CA 90046-5307 Ph: (323) 650-6936 |
| NPI Number | 1194910588 |
|---|---|
| Provider Enumeration Date | 09/10/2007 |
| Last Update Date | 06/22/2021 |
| Medicare PECOS PAC ID | 4486055654 |
|---|---|
| Medicare Enrollment ID | O20210624003183 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194910588 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 46315 (California) | Primary |
| Provider Name | Victoria Olshansky |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1700926706 PECOS PAC ID: 3678974847 Enrollment ID: I20210707002844 |
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