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10436 Sepulveda Blvd Mission Hills CA 91345-2424 | |
(818) 830-2828 | |
(818) 232-3083 |
Full Name | |
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Speciality | Dentist - General Practice |
Location | 10436 Sepulveda Blvd, Mission Hills, California |
Authorized Official Name and Position | Shant Terteryan (OWNER) |
Authorized Official Contact | 8186655113 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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3145 Kingridge Way Glendale CA 91206-1028 Ph: (818) 665-5113 | 10436 Sepulveda Blvd Mission Hills CA 91345-2424 Ph: (818) 830-2828 |
NPI Number | 1649984865 |
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Provider Enumeration Date | 01/11/2023 |
Last Update Date | 01/31/2023 |
Identifier | Type | State | Issuer |
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1649984865 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
261QD0000X | Clinic/center - Dental | (* (Not Available)) | Secondary |
Lawrence S. Trudgeon Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 10550 Sepulveda Blvd, Suite 115, Mission Hills, CA 91345 Phone: 818-365-6339 Fax: 818-361-6684 | |
Phillip E Peck Dds Inc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 10550 Sepulveda Blvd, Suite 115, Mission Hills, CA 91345 Phone: 818-361-8669 Fax: 818-361-6684 | |