| 15719 Vanowen St Dental Group Of Yeghisheh Mirzoyan Dds Inc | |
|
15719 Vanowen St Van Nuys CA 91406-5030 | |
| (818) 419-0047 | |
| Not Available |
| Full Name | 15719 Vanowen St Dental Group Of Yeghisheh Mirzoyan Dds Inc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 15719 Vanowen St, Van Nuys, California |
| Authorized Official Name and Position | Yeghisheh Mirzoyan (PRESIDENT) |
| Authorized Official Contact | 8189273113 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| 15719 Vanowen St Dental Group Of Yeghisheh Mirzoyan Dds Inc 6440 Greenbush Ave Van Nuys CA 91401-1839 Ph: (818) 419-0047 | 15719 Vanowen St Dental Group Of Yeghisheh Mirzoyan Dds Inc 15719 Vanowen St Van Nuys CA 91406-5030 Ph: (818) 419-0047 |
| NPI Number | 1558053025 |
|---|---|
| Provider Enumeration Date | 05/23/2023 |
| Last Update Date | 05/23/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1558053025 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
| 261QS0112X | Clinic/center - Oral And Maxillofacial Surgery | (* (Not Available)) | Secondary |
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