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Organization
GHAZAR M. GHAZARYAN D.D.S.,INC
Active
Organization
GHAZAR M. GHAZARYAN D.D.S.,INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GHAZAR MIKHAIL GHAZARYAN D.D.S (PRESIDENT)
(818) 780-8400
Entity
Organization
Contact information
Practice address
13746 VICTORY BLVD STE 113, VAN NUYS, CA 91401-6717
(818) 780-8400
(818) 780-2275
Mailing address
13746 VICTORY BLVD STE 113, VAN NUYS, CA 91401-6717
(818) 780-8400
(818) 780-2275
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
49322
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
G93223-01
—
CA
Enumeration date
03/28/2007
Last updated
03/08/2011
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