DR. Vladimir Vysotsky, DDS
NPI #1992987168 in Northridge, California
Provider Information
- NPI Number
- 1992987168
- Entity Type
- Individual
- Name
- DR. Vladimir Vysotsky, DDS
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Dentist - General Practice
- Credential
- DDS
- Enumeration Date
- Nov 29, 2007
- Last Updated
- Nov 29, 2007
Practice Location
- Address
- 19520 NORDHOFF ST STE 17
- City
- Northridge
- State
- California
- ZIP Code
- 91324-2444
- Phone
- (818) 701-9400
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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