| Sergey Tatulyan Dds, Inc. | |
|
18856 Roscoe Blvd Ste A Northridge CA 91324-6302 | |
| (818) 885-7116 | |
| (818) 885-1904 |
| Full Name | Sergey Tatulyan Dds, Inc. |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 18856 Roscoe Blvd Ste A, Northridge, California |
| Authorized Official Name and Position | Sergey Tatulyan (PRESIDENT) |
| Authorized Official Contact | 8188857116 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Sergey Tatulyan Dds, Inc. 18856 Roscoe Blvd Ste A Northridge CA 91324-6302 Ph: (818) 885-7116 | Sergey Tatulyan Dds, Inc. 18856 Roscoe Blvd Ste A Northridge CA 91324-6302 Ph: (818) 885-7116 |
| NPI Number | 1538585328 |
|---|---|
| Provider Enumeration Date | 03/17/2014 |
| Last Update Date | 03/17/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1538585328 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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