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10903 Magnolia Blvd North Hollywood CA 91601-3904 | |
(818) 345-0007 | |
(818) 345-1360 |
Full Name | |
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Speciality | Clinic/center - Dental |
Location | 10903 Magnolia Blvd, North Hollywood, California |
Authorized Official Name and Position | Naira Gevorgyan (DENTIST) |
Authorized Official Contact | 8183450007 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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10903 Magnolia Blvd North Hollywood CA 91601-3904 Ph: (818) 345-0007 | 10903 Magnolia Blvd North Hollywood CA 91601-3904 Ph: (818) 345-0007 |
NPI Number | 1649546391 |
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Provider Enumeration Date | 03/27/2012 |
Last Update Date | 10/11/2021 |
Identifier | Type | State | Issuer |
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1649546391 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261QD0000X | Clinic/center - Dental | (California) | Primary |
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