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Organization
R. MISNER DENTAL CORPORATION
Active
Organization
R. MISNER DENTAL CORPORATION
Active
Other names
Kids Dental Place, Armenian Bayramyan Dental Corp, kids and family dental place
Organization subpart
No
Provider details
NPI number
Authorized official
SHAUN URBANOZO (CREDENTIALING MANAGER)
(719) 323-2362
Entity
Organization
Contact information
Practice address
1000 E PALMER AVE, GLENDALE, CA 91205-3532
(818) 244-5052
Mailing address
2221 E BIJOU ST STE 100, COLORADO SPRINGS, CO 80909-8009
(818) 244-5052
(818) 956-6098
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
51044
CA
Other
Enumeration date
02/05/2008
Last updated
08/26/2024
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