| Cyberdent | |
|
6300 San Fernando Rd Glendale CA 91201-2414 | |
| (818) 547-4455 | |
| (818) 547-9955 |
| Full Name | Cyberdent |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 6300 San Fernando Rd, Glendale, California |
| Authorized Official Name and Position | Karen Baghdasaryan (CEO) |
| Authorized Official Contact | 8185474455 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Cyberdent 6300 San Fernando Rd Glendale CA 91201-2414 Ph: (818) 547-4455 | Cyberdent 6300 San Fernando Rd Glendale CA 91201-2414 Ph: (818) 547-4455 |
| NPI Number | 1679780464 |
|---|---|
| Provider Enumeration Date | 05/17/2007 |
| Last Update Date | 06/12/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679780464 | NPI | - | NPPES |
| G9307801 | Medicaid | CA | |
| G9834801 | Other | CA | BILLING PROVIDER |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 50409 (California) | Primary |
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