<Unavail>

LBN: Anna Kolentsova Dds Inc
<Unavail> is an health care organization with primary practice located at 12043 Magnolia Blvd , Valley Village CA 91607-2740. The organization recently has 2 registered licenses in different health care specialties including Dental Providers / Dentist, Ambulatory Health Care Facilities / Dental. Dental Providers / Dentist is the primary health care specialty. Anna Kolentsova Dds Inc can be contacted via phone (818) 761-8274, or through Kolentsova, Anna via phone (310) 430-2410.

Contact Information

Primary practice address
12043 Magnolia Blvd Valley Village CA 91607-2740
Phone: (818) 761-8274
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Kolentsova, Anna Doctor of Dental Surgery (DDS)
Phone: (310) 430-2410

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X
Ambulatory Health Care Facilities / Dental 261QD0000X

Profile Details

NPI number 1295556322
LBN Legal business name Anna Kolentsova Dds Inc
DBA Doing business as <Unavail>
Authorized official Kolentsova, Anna Doctor of Dental Surgery (DDS)
Entity Organization
Organization subpart 1 No
Enumeration date Oct 22nd, 2024
Last updated Dec 12th, 2024 - about 2 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1295556322 NPPES
California MEDICAID 1407459746

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