| Dr. Mher Grigoryan Dds Dental Corporation | |
|
2036 Lincoln Ave Pasadena CA 91103-1323 | |
| (747) 272-9649 | |
| Not Available |
| Full Name | Dr. Mher Grigoryan Dds Dental Corporation |
|---|---|
| Speciality | Dentist |
| Location | 2036 Lincoln Ave, Pasadena, California |
| Authorized Official Name and Position | Mher Grigoryan (PRESIDENT) |
| Authorized Official Contact | 7472729649 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dr. Mher Grigoryan Dds Dental Corporation 2036 Lincoln Ave Pasadena CA 91103-1323 Ph: (747) 272-9649 | Dr. Mher Grigoryan Dds Dental Corporation 2036 Lincoln Ave Pasadena CA 91103-1323 Ph: (747) 272-9649 |
| NPI Number | 1992232615 |
|---|---|
| Provider Enumeration Date | 05/11/2017 |
| Last Update Date | 06/16/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1992232615 | NPI | - | NPPES |
| 000532190 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 53219 (California) | Primary |
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