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Organization
TINA GHOTANIAN DDS PC
Active
Organization
TINA GHOTANIAN DDS PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TINA GHOTANIAN DDS (PRESIDENT)
(818) 762-9966
Entity
Organization
Contact information
Practice address
10916 RIVERSIDE DR, TOLUCA LAKE, CA 91602-2210
(818) 762-9966
Mailing address
10916 RIVERSIDE DR, TOLUCA LAKE, CA 91602-2210
(818) 762-9966
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
47079
CA
Other
Enumeration date
03/28/2007
Last updated
08/22/2020
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