| Doctor Dental | |
|
6501 Foothill Blvd Ste 101 Tujunga CA 91042-2766 | |
| (818) 259-0707 | |
| Not Available |
| Full Name | Doctor Dental |
|---|---|
| Speciality | Dentist |
| Location | 6501 Foothill Blvd Ste 101, Tujunga, California |
| Authorized Official Name and Position | David Saryan (CEO) |
| Authorized Official Contact | 8183520707 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Doctor Dental 6501 Foothill Blvd Ste 101 Tujunga CA 91042-2766 Ph: (818) 352-0707 | Doctor Dental 6501 Foothill Blvd Ste 101 Tujunga CA 91042-2766 Ph: (818) 259-0707 |
| NPI Number | 1811510985 |
|---|---|
| Provider Enumeration Date | 05/24/2020 |
| Last Update Date | 01/04/2023 |
| Medicare PECOS PAC ID | 5496147340 |
|---|---|
| Medicare Enrollment ID | O20220126002279 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1811510985 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
| Provider Name | David Saryan |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1417467697 PECOS PAC ID: 6305238262 Enrollment ID: I20220126002375 |
| Provider Name | Khachatur Saryan |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1730630500 PECOS PAC ID: 9739572025 Enrollment ID: I20220209001691 |
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