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Organization
GHOLDOIAN DENTAL CORPORATION
Active
Organization
GHOLDOIAN DENTAL CORPORATION
Active
Other names
Family Dental Center
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GEORGE S. GHOLDOIAN DDS (PRESIDENT/OWNER)
(562) 862-2341
Entity
Organization
Contact information
Practice address
10501 LAKEWOOD BLVD, SUITE A, DOWNEY, CA 90241-2709
(562) 862-2341
Mailing address
10501 LAKEWOOD BLVD, SUITE A, DOWNEY, CA 90241-2709
(562) 862-2341
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
17684
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
B17684-01
DENTI-CAL
CA
Enumeration date
06/30/2005
Last updated
08/22/2020
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