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Organization
MIRZOYAN DENTAL CORPORATION
Active
Organization
MIRZOYAN DENTAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LILIT MIRZOYAN DDS (CEO)
(818) 551-1127
Entity
Organization
Contact information
Practice address
1127 N PACIFIC AVE, GLENDALE, CA 91202-2358
(818) 551-1127
(818) 551-1167
Mailing address
1127 N PACIFIC AVE, GLENDALE, CA 91202-2358
(818) 551-1127
(818) 551-1167
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
59938
CA
Other
Enumeration date
03/08/2012
Last updated
03/08/2012
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