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Organization

ROBERTO DER BOGHOSIAN DDS A PROFESSIONAL DENTAL CORPORATION

Active
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Organization

ROBERTO DER BOGHOSIAN DDS A PROFESSIONAL DENTAL CORPORATION

Active
Organization subpart
No

Provider details

NPI number
Authorized official
ROBERTO DER BOGHOSIAN DDS (PRESIDENT)
(323) 773-7707
Entity
Organization

Contact information

Practice address
7643 ATLANTIC AVE, CUDAHY, CA 90201-5019
(323) 773-7707
Mailing address
6812 WOODMAN AVE, VAN NUYS, CA 91405-4208
(818) 785-7400

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
31245
CA

Other

Enumeration date
01/24/2007
Last updated
08/22/2020
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