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Organization
MISNER DMD PROFESSIONAL DENTAL CORP
Active
Organization
MISNER DMD PROFESSIONAL DENTAL CORP
Active
Other names
Kids Dental Place, J. Bayramyan DDS Professional Dental Corp.
Organization subpart
No
Provider details
NPI number
Authorized official
DR. REBECCA MISNER (OWNER)
(719) 323-2362
Entity
Organization
Contact information
Practice address
4221 E CESAR E CHAVEZ AVE, LOS ANGELES, CA 90063-3417
(323) 332-0201
Mailing address
2221 E BIJOU ST STE 100, COLORADO SPRINGS, CO 80909-8009
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
51044
CA
Other
Enumeration date
08/28/2015
Last updated
06/19/2023
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