Anatoly Vaisan DDS INC
NPI #1023166600 in San Fernando, California
Provider Information
- NPI Number
- 1023166600
- Entity Type
- Organization
- Organization Name
- Anatoly Vaisan DDS INC
- Primary Specialty
- Clinic/Center - Dental
- Enumeration Date
- Jan 8, 2007
- Last Updated
- Oct 23, 2017
Practice Location
- Address
- 11273 LAUREL CANYON BLVD
- Address 2
- SUITE#3
- City
- San Fernando
- State
- California
- ZIP Code
- 91340-4300
- Phone
- (818) 365-7191
Authorized Official
- Name
- DR. ANATOLY VAISMAN, DDS
- Title
- OWNER/DENTIST
- Phone
- (818) 365-7191
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Dental — Dental |
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