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Organization
S KARAKOZIAN & T KOTCHOUNIAN DENTAL CORP
Active
Organization
S KARAKOZIAN & T KOTCHOUNIAN DENTAL CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TALINE KOTCHOUNIAN DDS (OWNER)
(818) 667-0624
Entity
Organization
Contact information
Practice address
1080 WILSHIRE BLVD, LOS ANGELES, CA 90017-2416
(818) 667-0624
Mailing address
956 BIG BRIAR WAY, LA CANADA, CA 91011-1817
(818) 667-0624
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1104001155
DENTISTRY
—
01
—
1639240294
DENTISTRY
—
01
—
1982836722
DENTISTRY
—
Enumeration date
06/11/2021
Last updated
06/11/2021
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