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Organization
EDWIN BABADJANIAN DDS APC
Active
Organization
EDWIN BABADJANIAN DDS APC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EDWIN BABADJANIAN DDS (OWNER)
(818) 468-5186
Entity
Organization
Contact information
Practice address
1101 N PACIFIC AVE STE 206, GLENDALE, CA 91202-4367
(818) 548-5544
(888) 374-8024
Mailing address
1101 N PACIFIC AVE STE 206, GLENDALE, CA 91202-4367
(818) 548-5544
(888) 374-8024
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
—
—
1223E0200X
Endodontics
Primary
—
—
261QD0000X
Dental Clinic/Center
—
—
261QS0112X
Oral and Maxillofacial Surgery Clinic/Center
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
DDS59108
STATE OF CA
CA
Enumeration date
04/18/2019
Last updated
07/26/2019
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