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Organization
WESTERNOFF DMD MD & MARDIROSIAN DDS MD GP-W
Active
Organization
WESTERNOFF DMD MD & MARDIROSIAN DDS MD GP-W
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARTIN MARDIROSIAN DDS, MS, MD (ORAL SURGEON)
(310) 375-0514
Entity
Organization
Contact information
Practice address
8540 S SEPULVEDA BLVD STE 1206, LOS ANGELES, CA 90045-3819
(310) 375-0514
Mailing address
1706 S ELENA AVE STE A, REDONDO BEACH, CA 90277-5715
(310) 375-0514
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
—
NULL
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
—
—
Other
Enumeration date
06/24/2021
Last updated
06/24/2021
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