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Organization
MISAK MIKAYELYAN DDS INC
Active
Organization
MISAK MIKAYELYAN DDS INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MISAK MIKAYELYAN DDS (OWNER/DDS)
(818) 568-6454
Entity
Organization
Contact information
Practice address
702 W BROADWAY, GLENDALE, CA 91204-1010
(818) 568-6454
Mailing address
510 S BEL AIRE DR, BURBANK, CA 91501-1504
(818) 688-1453
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
64753
CA
Other
Enumeration date
05/02/2017
Last updated
03/14/2019
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