Sylmar Dental Corp.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

30218 Issued in CA

Legal business name

SYLMAR DENTAL CORP.

Practice address

12610 Glenoaks Blvd FL 2
Sylmar, CA 91342-4785

Phone

(818) 365-9177

Fax

(818) 361-6697

NPI assigned

Jul 29, 2014

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Vyniamin G Guralnik, D.D.SNPI 1063632925

Title

President

Phone

(818) 365-9177

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Vyniamin G Guralnik, DDS

  • Dentist
  • Sylmar, CA
  • NPI 1063632925
  NPD (past) Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1406592000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1406592000000",
    "number": "1104234665",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12610 GLENOAKS BLVD FL 2",
            "city": "SYLMAR",
            "state": "CA",
            "postal_code": "913424785",
            "telephone_number": "818-365-9177",
            "fax_number": "818-361-6697"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12610 GLENOAKS BLVD FL 2",
            "city": "SYLMAR",
            "state": "CA",
            "postal_code": "913424785",
            "telephone_number": "818-365-9177",
            "fax_number": "818-361-6697"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SYLMAR DENTAL CORP.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-07-29",
        "last_updated": "2014-07-29",
        "status": "A",
        "authorized_official_last_name": "GURALNIK",
        "authorized_official_first_name": "VYNIAMIN",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "818-365-9177",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "30218",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "30218",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jeb Sydejko, RPH, PHARM D, JD
• Ghassan Syed
• Saba Syed, MD
• Sylmar Board & Care
• Sylmar Board & Care II
• Sylmar Dialysis LLC
• Sylmar Health and Rehabilitation Center Inc.
• Sylmar Health Care Professionals Medical Group Inc.
• Sylmar Hospice Care, Inc
• Sylmar Medical Group Physician Assistant Inc

• General Practice Dentistry in Sylmar, CA
• Providers in Sylmar, CA by specialty
• General Practice Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.