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Organization
NATALYA SHAGRAMANOVA D.D.S. INC.
Active
Organization
NATALYA SHAGRAMANOVA D.D.S. INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. NATALYA SHAGRAMANOVA D.D.S. (OWNER/PRESIDENT)
(818) 653-7778
Entity
Organization
Contact information
Practice address
1150 N PACIFIC AVE, GLENDALE, CA 91202-2359
(818) 240-0138
Mailing address
7924 WOODMAN AVE, #27, VAN NUYS, CA 91402-6246
(818) 653-7778
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
54204
CA
1223G0001X
General Practice Dentistry
54204
CA
Other
Enumeration date
01/28/2008
Last updated
01/28/2008
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