# GARABEDIAN DENTAL GROUP INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1770107252
- **Authorized official:** RAFFIE GARABEDIAN DDS (DDS/OWNER)
- **Authorized official phone:** (949) 317-3197

## Contact information

- **Practice address:** 1055 RUBERTA AVE APT 1, GLENDALE, CA 91201-2195
- **Practice address phone:** (949) 317-3197
- **Practice address fax:** (949) 317-3197
- **Mailing address:** 1055 RUBERTA AVE APT 1, GLENDALE, CA 91201-2195
- **Mailing address phone:** (949) 317-3197
- **Mailing address fax:** (949) 317-3197

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | — | NULL | — |
| 122300000X | Dentist | — | — | — |
| 1223S0112X | Oral and Maxillofacial Surgery (Dentist) | — | NULL | Yes |
| 1223S0112X | Oral and Maxillofacial Surgery (Dentist) | — | — | Yes |

## Other

- **Enumeration date:** 06/01/2020
- **Last updated:** 06/01/2020