| Prodent Care, Dental Practice Of Tereza Hambarchian, Dds, Inc | |
|
213 N Orange Street Suite F Glendale CA 91203 | |
| (818) 241-3155 | |
| Not Available |
| Full Name | Prodent Care, Dental Practice Of Tereza Hambarchian, Dds, Inc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 213 N Orange Street, Glendale, California |
| Authorized Official Name and Position | Tereza Hambarchian (PRESIDENT) |
| Authorized Official Contact | 8184892409 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Prodent Care, Dental Practice Of Tereza Hambarchian, Dds, Inc 213 N Orange Street Suite F Glendale CA 91203 Ph: (818) 241-3155 | Prodent Care, Dental Practice Of Tereza Hambarchian, Dds, Inc 213 N Orange Street Suite F Glendale CA 91203 Ph: (818) 241-3155 |
| NPI Number | 1427213685 |
|---|---|
| Provider Enumeration Date | 07/26/2008 |
| Last Update Date | 10/22/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1427213685 | NPI | - | NPPES |
| D53598 | Medicaid | CA | |
| 53598 | Other | CA | STATE LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 53598 (California) | Primary |
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