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12265 Ventura Blvd Suite 208 Studio City CA 91604-2528 | |
| (818) 538-8899 | |
| (818) 334-4495 |
| Full Name | |
|---|---|
| Speciality | Dentist |
| Location | 12265 Ventura Blvd, Studio City, California |
| Authorized Official Name and Position | Talin Kotchounian Petrosian (OWNER) |
| Authorized Official Contact | 8185388899 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
12265 Ventura Blvd Suite 208 Studio City CA 91604-2528 Ph: (818) 538-8899 | 12265 Ventura Blvd Suite 208 Studio City CA 91604-2528 Ph: (818) 538-8899 |
| NPI Number | 1710412309 |
|---|---|
| Provider Enumeration Date | 04/20/2017 |
| Last Update Date | 04/20/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710412309 | NPI | - | NPPES |
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