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Organization
OGANESYAN DENTAL CORPORATION
Active
Organization
OGANESYAN DENTAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TEVAN OGANESYAN DDS (OWNER)
(949) 646-4300
Entity
Organization
Contact information
Practice address
313 E BROADWAY # 1625, GLENDALE, CA 91205-1010
(818) 232-7227
Mailing address
313 E BROADWAY # 1625, GLENDALE, CA 91205-1010
(818) 232-7227
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Enumeration date
05/31/2016
Last updated
06/29/2021
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