Sona Georgian, Dds, Inc. | |
32144 Agoura Rd Ste 213 Westlake Village CA 91361-4054 | |
(818) 991-4664 | |
(818) 991-4664 |
Full Name | Sona Georgian, Dds, Inc. |
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Speciality | Dentist - General Practice |
Location | 32144 Agoura Rd Ste 213, Westlake Village, California |
Authorized Official Name and Position | Sona Georgian (OWNER) |
Authorized Official Contact | 8189914664 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Sona Georgian, Dds, Inc. 32144 Agoura Rd Ste 213 Westlake Village CA 91361-4054 Ph: (818) 991-4664 | Sona Georgian, Dds, Inc. 32144 Agoura Rd Ste 213 Westlake Village CA 91361-4054 Ph: (818) 991-4664 |
NPI Number | 1730396052 |
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Provider Enumeration Date | 05/17/2007 |
Last Update Date | 03/04/2008 |
Identifier | Type | State | Issuer |
---|---|---|---|
1730396052 | NPI | - | NPPES |
G93479-01 | Other | CA | DENTI-CAL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223G0001X | Dentist - General Practice | 51255 (California) | Primary |
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