Dr. Roland Yakubov Professional Dental Inc

NPI 1174913404 - Dentist - 122300000X

NPI Details
NPI 1174913404
Enumeration Date 01/26/2015
Last Updated 01/26/2015
Entity Type Healthcare Provider
Active Over 1 year ago
Authorized Information
Name ROLAND ROLAND
Position PRESIDENT
Phone (818) 726-8534
Fax
Practice Location
646 W MAIN ST STE A
EL CENTRO CA, 92243-7914, US
Phone (818) 726-8534
Fax
Business Location
646 W MAIN ST STE A
EL CENTRO CA, 92243-7914, US
Phone (818) 726-8534
Fax
Toxanomy
Taxonomy Code 122300000X
License State California
License Number 57064
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According to our database, Dr. Roland Yakubov Professional Dental Inc NPI is 1174913404, taxonomy code is 122300000X and license number is 57064, license state is located at California. Dr. Roland Yakubov Professional Dental Inc physically located at 646 W Main St Ste A, El Centro CA, 92243-7914. NPI Number 1033115704 has the healthcare provider type.

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1174913404 NPI number is provided on an as is basis without warranty of any kind. 1174913404 is maintained by the National Plan & Provider Enumeration System. The contents of Dr. Roland Yakubov Professional Dental Inc are for informational purposes only.