| Eduard Avetisyan Dds Inc | |
|
5300 Santa Monica Blvd Los Angeles CA 90029-1131 | |
| (323) 798-5271 | |
| Not Available |
| Full Name | Eduard Avetisyan Dds Inc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 5300 Santa Monica Blvd, Los Angeles, California |
| Authorized Official Name and Position | Eduard Avetisyan (DENTIST) |
| Authorized Official Contact | 3237985271 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Eduard Avetisyan Dds Inc 5300 Santa Monica Blvd Los Angeles CA 90029-1131 Ph: (323) 798-5271 | Eduard Avetisyan Dds Inc 5300 Santa Monica Blvd Los Angeles CA 90029-1131 Ph: (323) 798-5271 |
| NPI Number | 1629679667 |
|---|---|
| Provider Enumeration Date | 11/05/2020 |
| Last Update Date | 11/05/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629679667 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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