Hovsep Nargizyan Professional Dental Corp | |
5216 Laurel Canyon Blvd Valley Village CA 91607-2710 | |
(818) 786-8494 | |
(818) 786-8492 |
Full Name | Hovsep Nargizyan Professional Dental Corp |
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Speciality | Dentist |
Location | 5216 Laurel Canyon Blvd, Valley Village, California |
Authorized Official Name and Position | Hovsep Nargizyan (OWNER) |
Authorized Official Contact | 8187868494 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Hovsep Nargizyan Professional Dental Corp 5216 Laurel Canyon Blvd Valley Village CA 91607-2710 Ph: (818) 786-8494 | Hovsep Nargizyan Professional Dental Corp 5216 Laurel Canyon Blvd Valley Village CA 91607-2710 Ph: (818) 786-8494 |
NPI Number | 1104269976 |
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Provider Enumeration Date | 04/11/2013 |
Last Update Date | 05/17/2024 |
Medicare PECOS PAC ID | 9931445442 |
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Medicare Enrollment ID | O20190103002725 |
Identifier | Type | State | Issuer |
---|---|---|---|
1104269976 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223G0001X | Dentist - General Practice | 51112 (California) | Primary |
Provider Name | Hovsep Nargizyan |
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Provider Type | Practitioner - Oral Surgery |
Provider Identifiers | NPI Number: 1982799276 PECOS PAC ID: 2769771658 Enrollment ID: I20190103002920 |
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