Provider Demographics
NPI:1063553121
Name:BURSTEIN, OSWALD BERNARD (DDS)
Entity type:Individual
Prefix:DR
First Name:OSWALD
Middle Name:BERNARD
Last Name:BURSTEIN
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14652 VENTURA BLVD STE 200
Mailing Address - Street 2:
Mailing Address - City:SHERMAN OAKS
Mailing Address - State:CA
Mailing Address - Zip Code:91403-3686
Mailing Address - Country:US
Mailing Address - Phone:818-906-1122
Mailing Address - Fax:818-906-0786
Practice Address - Street 1:14652 VENTURA BLVD STE 200
Practice Address - Street 2:
Practice Address - City:SHERMAN OAKS
Practice Address - State:CA
Practice Address - Zip Code:91403-3686
Practice Address - Country:US
Practice Address - Phone:818-906-1122
Practice Address - Fax:818-906-0786
Is Sole Proprietor?:No
Enumeration Date:2007-02-10
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA0315791223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice