| Ivy Avanessian Fua, Dds, Inc | |
|
3923 W Burbank Blvd Burbank CA 91505-2118 | |
| (818) 846-1733 | |
| Not Available |
| Full Name | Ivy Avanessian Fua, Dds, Inc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 3923 W Burbank Blvd, Burbank, California |
| Authorized Official Name and Position | Ivy Avanessian Fua (PRESIDENT) |
| Authorized Official Contact | 8188461733 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ivy Avanessian Fua, Dds, Inc 3923 W Burbank Blvd Burbank CA 91505-2118 Ph: (818) 846-1733 | Ivy Avanessian Fua, Dds, Inc 3923 W Burbank Blvd Burbank CA 91505-2118 Ph: (818) 846-1733 |
| NPI Number | 1770114829 |
|---|---|
| Provider Enumeration Date | 01/28/2020 |
| Last Update Date | 01/28/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1770114829 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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