Healthcare Provider Details

I. General information

NPI: 1457751976
Provider Name (Legal Business Name): YURY BERSHADSKY DDS INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/03/2014
Last Update Date: 09/15/2026
Certification Date: 11/30/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6543 TOPANGA CANYON BLVD
WOODLAND HILLS CA
91303-2622
US

IV. Provider business mailing address

6543 TOPANGA CANYON BLVD
WOODLAND HILLS CA
91303-2622
US

V. Phone/Fax

Practice location:
  • Phone: 818-709-6713
  • Fax: 818-709-5917
Mailing address:
  • Phone: 818-709-6713
  • Fax: 818-709-5917

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code122300000X
TaxonomyDentist
License Number
License Number State

VIII. Authorized Official

Name: TAMERA SOLOMINE
Title or Position: OFFICE MANAGER
Credential:
Phone: 818-883-7979