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Organization
NEW LOOK DENTAL, INC
Active
Organization
NEW LOOK DENTAL, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LOUSINE VAHAGN KIRAKOSIAN D.D.S. (DENTIST /OWNER)
(818) 334-3692
Entity
Organization
Contact information
Practice address
125 E GLENOAKS BLVD STE 106, GLENDALE, CA 91207-2134
(818) 334-3692
(818) 484-5760
Mailing address
125 E GLENOAKS BLVD STE 103, GLENDALE, CA 91207-2131
(818) 334-3692
(818) 484-5780
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
57157
CA
Other
Enumeration date
11/15/2010
Last updated
11/15/2010
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