| Glendale Dental Arts Center | |
|
814 E Broadway Ste 4 Glendale CA 91205-4554 | |
| (818) 241-1160 | |
| (818) 241-1320 |
| Full Name | Glendale Dental Arts Center |
|---|---|
| Speciality | Dentist - Prosthodontics |
| Location | 814 E Broadway Ste 4, Glendale, California |
| Authorized Official Name and Position | Ali O. Makhmalbaf (OWNER) |
| Authorized Official Contact | 8182411160 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Glendale Dental Arts Center 814 E Broadway Ste 4 Glendale CA 91205-4554 Ph: () - | Glendale Dental Arts Center 814 E Broadway Ste 4 Glendale CA 91205-4554 Ph: (818) 241-1160 |
| NPI Number | 1902296395 |
|---|---|
| Provider Enumeration Date | 01/23/2015 |
| Last Update Date | 01/23/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902296395 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0700X | Dentist - Prosthodontics | (* (Not Available)) | Primary |
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