| Ghazar M. Ghazaryan D.d.s.,inc | |
|
13746 Victory Blvd Ste 113 Van Nuys CA 91401-6717 | |
| (818) 780-8400 | |
| (818) 780-2275 |
| Full Name | Ghazar M. Ghazaryan D.d.s.,inc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 13746 Victory Blvd Ste 113, Van Nuys, California |
| Authorized Official Name and Position | Ghazar Mikhail Ghazaryan (PRESIDENT) |
| Authorized Official Contact | 8187808400 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ghazar M. Ghazaryan D.d.s.,inc 13746 Victory Blvd Ste 113 Van Nuys CA 91401-6717 Ph: (818) 780-8400 | Ghazar M. Ghazaryan D.d.s.,inc 13746 Victory Blvd Ste 113 Van Nuys CA 91401-6717 Ph: (818) 780-8400 |
| NPI Number | 1538288667 |
|---|---|
| Provider Enumeration Date | 03/28/2007 |
| Last Update Date | 03/08/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1538288667 | NPI | - | NPPES |
| G93223-01 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 49322 (California) | Primary |
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