| Ter Poghossian Dental Corporation | |
|
1128 N Brand Blvd Glendale CA 91202-2504 | |
| (818) 246-3736 | |
| Not Available |
| Full Name | Ter Poghossian Dental Corporation |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 1128 N Brand Blvd, Glendale, California |
| Authorized Official Name and Position | Vartan Ter Poghossian (PRESIDENT) |
| Authorized Official Contact | 8182463736 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ter Poghossian Dental Corporation 1128 N Brand Blvd Glendale CA 91202-2504 Ph: (818) 246-3736 | Ter Poghossian Dental Corporation 1128 N Brand Blvd Glendale CA 91202-2504 Ph: (818) 246-3736 |
| NPI Number | 1760931588 |
|---|---|
| Provider Enumeration Date | 09/22/2016 |
| Last Update Date | 09/22/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1760931588 | NPI | - | NPPES |
| 1023296985 | Other | CA | DENTI-CAL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 56017 (California) | Primary |
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