Jil-agopian Prof. Dental Corporation | |
10727 White Oak Ave #215 Granada Hills CA 91344-4631 | |
(818) 832-4331 | |
(818) 832-4301 |
Full Name | Jil-agopian Prof. Dental Corporation |
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Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
Location | 10727 White Oak Ave, Granada Hills, California |
Authorized Official Name and Position | Ara Jil-agopian (PRESIDENT) |
Authorized Official Contact | 8184589628 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Jil-agopian Prof. Dental Corporation 12660 Dorina Pl Granada Hills CA 91344-1417 Ph: (818) 458-9628 | Jil-agopian Prof. Dental Corporation 10727 White Oak Ave #215 Granada Hills CA 91344-4631 Ph: (818) 832-4331 |
NPI Number | 1801048129 |
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Provider Enumeration Date | 10/17/2008 |
Last Update Date | 08/27/2009 |
Identifier | Type | State | Issuer |
---|---|---|---|
1801048129 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | 57082 (California) | Primary |
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Ara G. Jil-agopian, Dds, Inc. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 12660 Dorina Pl, Granada Hills, CA 91344 Phone: 818-458-9628 |