| Sona Kazazian D.d. S. | |
|
12520 Magnolia Blvd Ste 203 Valley Village CA 91607-2345 | |
| (818) 763-6869 | |
| (818) 763-0063 |
| Full Name | Sona Kazazian D.d. S. |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 12520 Magnolia Blvd Ste 203, Valley Village, California |
| Authorized Official Name and Position | Sona Kazazian (DENTIST) |
| Authorized Official Contact | 8187636869 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Sona Kazazian D.d. S. 12520 Magnolia Blvd Ste 203 Valley Village CA 91607-2345 Ph: (818) 763-6869 | Sona Kazazian D.d. S. 12520 Magnolia Blvd Ste 203 Valley Village CA 91607-2345 Ph: (818) 763-6869 |
| NPI Number | 1336634575 |
|---|---|
| Provider Enumeration Date | 06/29/2018 |
| Last Update Date | 06/29/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336634575 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | B42339-01 (California) | Primary |
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