| Andre Eliasian Dental Corporation | |
|
1224 Stanley Ave Unit 10 Glendale CA 91206-5629 | |
| (818) 632-5005 | |
| Not Available |
| Full Name | Andre Eliasian Dental Corporation |
|---|---|
| Speciality | Dentist |
| Location | 1224 Stanley Ave Unit 10, Glendale, California |
| Authorized Official Name and Position | Andre Eliasian (OWNER/DENTIST) |
| Authorized Official Contact | 8186325005 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Andre Eliasian Dental Corporation 290 E Verdugo Ave 208 Burbank CA 91502-1300 Ph: (818) 861-7427 | Andre Eliasian Dental Corporation 1224 Stanley Ave Unit 10 Glendale CA 91206-5629 Ph: (818) 632-5005 |
| NPI Number | 1508281387 |
|---|---|
| Provider Enumeration Date | 03/03/2014 |
| Last Update Date | 03/03/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508281387 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 62927 (California) | Primary |
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