Anatoly Vaisman D.d.s., Inc
Dental Clinic
11273 Laurel Canyon Blvd Ste 3, San Fernando
California, 91340-4358
818-365-7191 818-361-7641
Maps & DirectionsAnatoly Vaisman D.d.s., Inc is a Dental Clinic in San Fernando, California. This organization is also known as sub part of Anatoly Vaisman D.d., Inc. It is located at 11273 Laurel Canyon Blvd Ste 3, San Fernando, CA and its contact number is 818-365-7191. The authorized person for Anatoly Vaisman D.d.s., Inc is Maria Carlos
who is Office Manage of the clinic and their contact number is 818-365-7191. The primary license number for Anatoly Vaisman D.d.s., Inc is 43259 (General Practice) in California.
Anatoly Vaisman D.d.s., Inc Clinic caters to patients of all ages for their dental care needs. Dentists at the clinic are responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
Complete Clinic Profile:
Anatoly Vaisman D.d.s., Inc Clinic speciality, address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointments.
| Name: | Anatoly Vaisman D.d.s., Inc |
| Specialization: | General Practice Dentistry |
| Clinic Address: | 11273 Laurel Canyon Blvd Ste 3, San Fernando, California, 91340-4358 |
| Phone: | 818-365-7191 |
| Fax: | 818-361-7641 |
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints for this clinic are as below. Person's position and contact details are also mentioned below.
| Name: | Maria Carlos |
| Position: | Office Manage |
| Contact Number: | 818-365-7191 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details for Anatoly Vaisman D.d.s., Inc clinic are as mentioned below.
| NPI Number: | 1235371600 |
| Parent Organization: | Anatoly Vaisman D.d., Inc |
| NPI Enumeration Date: | 01 Apr, 2009 |
| NPI Last Update On: | 01 Apr, 2009 |
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Anatoly Vaisman D.d.s., Inc are as mentioned below.
| Specialization | License Number | State | Status | |
| General Practice | 43259 | California | Primary | |
Other Medical Identifiers:
Other legacy medical identifiers of the clinic such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| G93630-01 | Medicaid | California | |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | Anatoly Vaisman D.d.s., Inc 11273 Laurel Canyon Blvd Ste 3, San Fernando, California |
| Zip: | 91340-4358 |
| Phone Number: | 818-365-7191 |
| Fax Number: | 818-361-7641 |
Patients can reach Anatoly Vaisman D.d.s., Inc at
11273 Laurel Canyon Blvd Ste 3, San Fernando, California or can
call to book an appointment on 818-365-7191.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on
08 December, 2025.