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Organization
GALLATIN DENTAL GROUP
Active
Organization
GALLATIN DENTAL GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. STEVE ARTHUR AIVAZIAN DMD (SECRETARY)
(562) 869-1686
Entity
Organization
Contact information
Practice address
10805 PARAMOUNT BLVD, SUITE B, DOWNEY, CA 90241
(562) 869-1686
(562) 861-1672
Mailing address
10805 PARAMOUNT BLVD, SUITE B, DOWNEY, CA 90241
(562) 869-1686
(562) 861-1672
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
41887
CA
122300000X
Dentist
47500
CA
1223P0221X
Pediatric Dentistry
42015
CA
Other
Enumeration date
01/26/2007
Last updated
06/01/2015
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