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Dr. Gregory S Polyakov, DDS
Student in an Organized Health Care Education/Training Program in Calabasas, California
NPI 1881342038

Gregory S Polyakov is a Student in an Organized Health Care Education/Training Program based in Calabasas, CA. Gregory S Polyakov practices in Calabasas, CA and has the professional credentials of DDS. The NPI Number for Gregory S Polyakov is 1881342038 and holds a License No. (California).

The current practice location address for Gregory S Polyakov is 4215 Prado De Los Pajaros, Calabasas, CA and can be reached out via phone at 818-601-4734.

Location: 4215 Prado De Los Pajaros, Calabasas, CA, 91302-3618
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1881342038
Provider Name
Gregory S Polyakov
Credential
DDS
Provider Entity Type
Individual
Gender
Male
Address
4215 Prado De Los Pajaros, Calabasas, CA, 91302-3618
Phone Number
818-601-4734
Fax Number
Provider Enumeration Date
03/16/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
4215 Prado De Los Pajaros
City
Calabasas
State
California
Zip
91302-3618
Phone Number
818-601-4734
Fax Number
person
Provider Business Mailing Address Details
Address
4215 Prado De Los Pajaros
City
Calabasas
State
California
Zip
91302-3618
Phone Number
818-601-4734
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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