| |
6801 Lankershim Blvd Ste 101 North Hollywood CA 91605-6112 | |
(818) 764-0718 | |
(818) 503-9285 |
Full Name | |
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Speciality | Dentist - General Practice |
Location | 6801 Lankershim Blvd Ste 101, North Hollywood, California |
Authorized Official Name and Position | Harmik Derhartounian (PRESIDENT,CEO) |
Authorized Official Contact | 8187640718 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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6801 Lankershim Blvd Ste 101 North Hollywood CA 91605-6112 Ph: (818) 764-0718 | 6801 Lankershim Blvd Ste 101 North Hollywood CA 91605-6112 Ph: (818) 764-0718 |
NPI Number | 1922133578 |
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Provider Enumeration Date | 02/23/2007 |
Last Update Date | 08/22/2020 |
Identifier | Type | State | Issuer |
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1922133578 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223G0001X | Dentist - General Practice | 41394 (California) | Primary |
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