| Tina Ghotanian Dds Pc | |
|
10916 Riverside Dr Toluca Lake CA 91602-2210 | |
| (818) 762-9966 | |
| Not Available |
| Full Name | Tina Ghotanian Dds Pc |
|---|---|
| Speciality | Dentist |
| Location | 10916 Riverside Dr, Toluca Lake, California |
| Authorized Official Name and Position | Tina Ghotanian (PRESIDENT) |
| Authorized Official Contact | 8187629966 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Tina Ghotanian Dds Pc 10916 Riverside Dr Toluca Lake CA 91602-2210 Ph: (818) 762-9966 | Tina Ghotanian Dds Pc 10916 Riverside Dr Toluca Lake CA 91602-2210 Ph: (818) 762-9966 |
| NPI Number | 1235258435 |
|---|---|
| Provider Enumeration Date | 03/28/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235258435 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 47079 (California) | Primary |
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