| Roberto Der Boghosian Dds A Professional Dental Corporation | |
|
6812 Woodman Ave Van Nuys CA 91405-4208 | |
| (818) 785-7400 | |
| (818) 785-7958 |
| Full Name | Roberto Der Boghosian Dds A Professional Dental Corporation |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 6812 Woodman Ave, Van Nuys, California |
| Authorized Official Name and Position | Roberto Der Boghosian (PRESIDENT) |
| Authorized Official Contact | 8187857400 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Roberto Der Boghosian Dds A Professional Dental Corporation 6812 Woodman Ave Van Nuys CA 91405-4208 Ph: (818) 785-7400 | Roberto Der Boghosian Dds A Professional Dental Corporation 6812 Woodman Ave Van Nuys CA 91405-4208 Ph: (818) 785-7400 |
| NPI Number | 1659435519 |
|---|---|
| Provider Enumeration Date | 12/21/2006 |
| Last Update Date | 03/10/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1659435519 | NPI | - | NPPES |
| G90696 | Other | CA | MEDICAL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 31245 (California) | Primary |
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