# EDWIN BABADJANIAN DDS APC

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

## Provider details

- **NPI number:** 1801459516
- **Authorized official:** EDWIN BABADJANIAN DDS (OWNER)
- **Authorized official phone:** (818) 468-5186

## Contact information

- **Practice address:** 1101 N PACIFIC AVE STE 206, GLENDALE, CA 91202-4367
- **Practice address phone:** (818) 548-5544
- **Practice address fax:** (888) 374-8024
- **Mailing address:** 1101 N PACIFIC AVE STE 206, GLENDALE, CA 91202-4367
- **Mailing address phone:** (818) 548-5544
- **Mailing address fax:** (888) 374-8024

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | — | — | — |
| 1223E0200X | Endodontics | — | — | Yes |
| 261QD0000X | Dental Clinic/Center | — | — | — |
| 261QS0112X | Oral and Maxillofacial Surgery Clinic/Center | — | — | — |

## Other

- **Enumeration date:** 04/18/2019
- **Last updated:** 07/26/2019

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | DDS59108 | STATE OF CA | CA |