Premier Dental Clinic | |
4648 Lankershim Blvd North Hollywood CA 91602-1836 | |
(818) 505-0520 | |
(818) 506-6271 |
Full Name | Premier Dental Clinic |
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Speciality | Dentist |
Location | 4648 Lankershim Blvd, North Hollywood, California |
Authorized Official Name and Position | Karineh Elmira Assatourian (PRESIDENT) |
Authorized Official Contact | 8185050520 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Premier Dental Clinic 4648 Lankershim Blvd North Hollywood CA 91602-1836 Ph: (818) 505-0520 | Premier Dental Clinic 4648 Lankershim Blvd North Hollywood CA 91602-1836 Ph: (818) 505-0520 |
NPI Number | 1144543497 |
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Provider Enumeration Date | 03/01/2010 |
Last Update Date | 03/01/2010 |
Identifier | Type | State | Issuer |
---|---|---|---|
1144543497 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
122300000X | Dentist | 53328 (California) | Primary |
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