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Organization
NJDEH NICK DENTAL CORP
Active
Organization
NJDEH NICK DENTAL CORP
Active
Other names
ABC Kids Dental Group
Organization subpart
No
Provider details
NPI number
Authorized official
DR. NJDEH NICK GHAZARYAN DDS (PRESIDENT)
(818) 970-5070
Entity
Organization
Contact information
Practice address
2040 GLENOAKS BLVD, SAN FERNANDO, CA 91340-1681
(818) 970-5070
Mailing address
2040 GLENOAKS BLVD, SAN FERNANDO, CA 91340-1681
(818) 970-5070
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
07/14/2021
Last updated
07/14/2021
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