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Organization
PRODENT CARE, DENTAL PRACTICE OF TEREZA HAMBARCHIAN, DDS, INC
Active
Organization
PRODENT CARE, DENTAL PRACTICE OF TEREZA HAMBARCHIAN, DDS, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TEREZA HAMBARCHIAN DDS (PRESIDENT)
(818) 489-2409
Entity
Organization
Contact information
Practice address
213 N ORANGE STREET, SUITE F, GLENDALE, CA 91203
(818) 241-3155
Mailing address
213 N ORANGE STREET, SUITE F, GLENDALE, CA 91203
(818) 241-3155
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
53598
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
53598
STATE LICENSE
CA
05
—
D53598
—
CA
Enumeration date
07/26/2008
Last updated
10/22/2015
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