| Green California Dental Group | |
|
1822 W Burbank Blvd Burbank CA 91506-1348 | |
| (818) 238-9700 | |
| (818) 238-9124 |
| Full Name | Green California Dental Group |
|---|---|
| Speciality | Dentist |
| Location | 1822 W Burbank Blvd, Burbank, California |
| Authorized Official Name and Position | Varand Kerikorian (CEO) |
| Authorized Official Contact | 8186366923 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Green California Dental Group 1822 W Burbank Blvd Burbank CA 91506-1348 Ph: (818) 238-9700 | Green California Dental Group 1822 W Burbank Blvd Burbank CA 91506-1348 Ph: (818) 238-9700 |
| NPI Number | 1073825956 |
|---|---|
| Provider Enumeration Date | 07/08/2010 |
| Last Update Date | 07/08/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073825956 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 57533 (California) | Primary |
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