DR. Anatoly Vaisman, DDS

NPI #1619025277 in San Fernando, California

Provider Information

NPI Number: 1619025277
Entity Type: Individual
Name: DR. Anatoly Vaisman, DDS
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Dentist
Credential: DDS
Enumeration Date: Jan 8, 2007
Last Updated: Jul 8, 2007

Practice Location

Address: 11273 LAUREL CANYON BLVD
Address 2: SUITE #3
City: San Fernando
State: California
ZIP Code: 91340-4300
Phone: (818) 365-7191

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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