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Organization
SHANT TERTERYAN DDS INC
Active
Organization
SHANT TERTERYAN DDS INC
Active
Other names
Dental Blvd & Orthodontics
Organization subpart
No
Provider details
NPI number
Authorized official
SHANT TERTERYAN DDS (OWNER)
(818) 665-5113
Entity
Organization
Contact information
Practice address
10436 SEPULVEDA BLVD, MISSION HILLS, CA 91345-2424
(818) 830-2828
(818) 232-3083
Mailing address
3145 KINGRIDGE WAY, GLENDALE, CA 91206-1028
(818) 665-5113
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
261QD0000X
Dental Clinic/Center
—
—
Other
Enumeration date
01/11/2023
Last updated
01/31/2023
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