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Organization
MISNER DENTAL CORP
Active
Organization
MISNER DENTAL CORP
Active
Other names
Teen Dental Place, Kids Dental Place, Jack Bayramyan Dental Corp
Organization subpart
No
Provider details
NPI number
Authorized official
SHAUN URBANOZO (CREDENTIALING MANAGER)
(719) 323-2362
Entity
Organization
Contact information
Practice address
14424 VICTORY BLVD, VAN NUYS, CA 91401-1439
(818) 908-9800
Mailing address
2221 E BIJOU ST STE 100, COLORADO SPRINGS, CO 80909-8009
(818) 908-9800
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
51044
CA
Other
Enumeration date
08/09/2007
Last updated
03/24/2026
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