Gabrielle Polyakov, DDS

NPI 1023846383 · on the registry since 2024 · sole proprietor

Practice

Address: 10505 W Pico Blvd
Los Angeles, CA 90064
Phone: (310) 475-0617
Organisation at this address: Lindsay Costantino, Dds Inc
Dillon Costantino Dental Partnership
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 4

Registry record

Primary taxonomy: 1223G0001X
1223G0001X
Licence states on file: CA
From the registry's licence fields, which are often incomplete.
Sex: Female
Record last updated: 2024-07-26

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California