Provider Demographics
NPI:1407270879
Name:VICTORIA COHEN-GADOL, D.D.S, INC.
Entity Type:Organization
Organization Name:VICTORIA COHEN-GADOL, D.D.S, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DENTIST
Authorized Official - Prefix:DR
Authorized Official - First Name:VICTORIA
Authorized Official - Middle Name:NONE
Authorized Official - Last Name:COHEN-GADOL
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:310-936-1699
Mailing Address - Street 1:435 N BEDFORD DR STE 306
Mailing Address - Street 2:
Mailing Address - City:BEVERLY HILLS
Mailing Address - State:CA
Mailing Address - Zip Code:90210-4344
Mailing Address - Country:US
Mailing Address - Phone:310-276-6400
Mailing Address - Fax:
Practice Address - Street 1:435 N BEDFORD DR STE 306
Practice Address - Street 2:
Practice Address - City:BEVERLY HILLS
Practice Address - State:CA
Practice Address - Zip Code:90210-4344
Practice Address - Country:US
Practice Address - Phone:310-276-6400
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-02-06
Last Update Date:2014-02-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA487131223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty