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NPI Code Detail

MEDICARE: GALINA STOLYAR D.D.S

MEDICARE:   GALINA  STOLYAR  D.D.S
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1122300000XDentist48027CA

General Provider Information

NPI Number : 1104940998
Entity Type Code : Individual
Provider Name (Legal Business Name) : GALINA STOLYAR D.D.S
Provider Business Mailing Address
First Line : 11755 VICTORY BLVD
Second Line : SUITE 101
City : NORTH HOLLYWOOD
State : CA
Zip : 91606-3423
Country : US
Telephone Number : 818-761-0010
Fax Number : 818-761-0012
Provider Business Practice Location Address
First Line : 11755 VICTORY BLVD
Second Line : SUITE 101
City : NORTH HOLLYWOOD
State : CA
Zip : 91606-3423
Country : US
Telephone Number : 818-761-0010
Fax Number : 818-761-0012
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/18/2007
Last Update Date : 07/08/2007

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Directions to “ GALINA STOLYAR D.D.S” Practice Location

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