| Utudjian Dds Inc | |
|
2244 Fair Park Ave Los Angeles CA 90041-1910 | |
| (818) 434-6060 | |
| Not Available |
| Full Name | Utudjian Dds Inc |
|---|---|
| Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
| Location | 2244 Fair Park Ave, Los Angeles, California |
| Authorized Official Name and Position | Garen Utudjian (CEO) |
| Authorized Official Contact | 8184346060 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Utudjian Dds Inc 1921 N Buena Vista St Unit 415 Burbank CA 91504-3385 Ph: (818) 434-6060 | Utudjian Dds Inc 2244 Fair Park Ave Los Angeles CA 90041-1910 Ph: (818) 434-6060 |
| NPI Number | 1285454132 |
|---|---|
| Provider Enumeration Date | 10/15/2024 |
| Last Update Date | 10/15/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285454132 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | (* (Not Available)) | Primary |
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