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Organization
ANDRE ELIASIAN DENTAL CORPORATION
Active
Organization
ANDRE ELIASIAN DENTAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ANDRE ELIASIAN DDS (OWNER/DENTIST)
(818) 632-5005
Entity
Organization
Contact information
Practice address
1224 STANLEY AVE UNIT 10, GLENDALE, CA 91206-5629
(818) 632-5005
Mailing address
290 E VERDUGO AVE, 208, BURBANK, CA 91502-1300
(818) 861-7427
(818) 861-7426
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
62927
CA
Other
Enumeration date
03/03/2014
Last updated
03/03/2014
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