Gennady Orlovetsky, D.d.s., Inc.

NPI #1902204019 in Simi Valley, California

Provider Information

NPI Number: 1902204019
Entity Type: Organization
Organization Name: Gennady Orlovetsky, D.d.s., Inc.
Primary Specialty: Dentist
Enumeration Date: Dec 5, 2014
Last Updated: Dec 5, 2014

Practice Location

Address: 2780 TAPO CANYON RD
Address 2: STE. A-1B
City: Simi Valley
State: California
ZIP Code: 93063-6840
Phone: (805) 520-1711

Authorized Official

Name: LYUDMILA PREYS
Title: OFFICE MANAGER
Phone: (805) 520-1711

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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