| Njdeh Nick Dental Corp | |
|
2040 Glenoaks Blvd San Fernando CA 91340-1681 | |
| (818) 970-5070 | |
| Not Available |
| Full Name | Njdeh Nick Dental Corp |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 2040 Glenoaks Blvd, San Fernando, California |
| Authorized Official Name and Position | Njdeh Nick Ghazaryan (PRESIDENT) |
| Authorized Official Contact | 8189705070 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Njdeh Nick Dental Corp 2040 Glenoaks Blvd San Fernando CA 91340-1681 Ph: (818) 970-5070 | Njdeh Nick Dental Corp 2040 Glenoaks Blvd San Fernando CA 91340-1681 Ph: (818) 970-5070 |
| NPI Number | 1770155160 |
|---|---|
| Provider Enumeration Date | 07/14/2021 |
| Last Update Date | 07/14/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1770155160 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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