| Tigran Gyokchyan Dds Inc | |
|
1209 N Hollywood Way # 100 Burbank CA 91505-2224 | |
| (818) 747-9670 | |
| Not Available |
| Full Name | Tigran Gyokchyan Dds Inc |
|---|---|
| Speciality | Dentist |
| Location | 1209 N Hollywood Way # 100, Burbank, California |
| Authorized Official Name and Position | Tigran Gyokchyan (CEO) |
| Authorized Official Contact | 8187479670 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Tigran Gyokchyan Dds Inc 1209 N Hollywood Way # 100 Burbank CA 91505-2224 Ph: (818) 747-9670 | Tigran Gyokchyan Dds Inc 1209 N Hollywood Way # 100 Burbank CA 91505-2224 Ph: (818) 747-9670 |
| NPI Number | 1750950887 |
|---|---|
| Provider Enumeration Date | 06/22/2021 |
| Last Update Date | 06/22/2021 |
| Medicare PECOS PAC ID | 7012309644 |
|---|---|
| Medicare Enrollment ID | O20220111002542 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1750950887 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
| Provider Name | Tigran Gyokchyan |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1447771100 PECOS PAC ID: 6901224526 Enrollment ID: I20200915000563 |
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