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Organization
SPARTAK DELAKYAN D.D.S., INC.
Active
Organization
SPARTAK DELAKYAN D.D.S., INC.
Active
Other names
Greenwood Dental
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SPARTAK DELAKYAN D.D.S (DENTIST/OWNER)
(818) 523-3005
Entity
Organization
Contact information
Practice address
2332 W WHITTIER BLVD, MONTEBELLO, CA 90640-3039
(323) 728-3292
(323) 728-6329
Mailing address
1214 1/2 S GREENWOOD AVE, MONTEBELLO, CA 90640-6329
(323) 728-3292
(323) 728-6329
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
61368
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1922418599
GENERAL DENTIST
—
Enumeration date
05/05/2014
Last updated
11/10/2020
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