# MIRZOYAN DENTAL CORPORATION

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

## Provider details

- **NPI number:** 1952675977
- **Authorized official:** LILIT MIRZOYAN DDS (CEO)
- **Authorized official phone:** (818) 551-1127

## Contact information

- **Practice address:** 1127 N PACIFIC AVE, GLENDALE, CA 91202-2358
- **Practice address phone:** (818) 551-1127
- **Practice address fax:** (818) 551-1167
- **Mailing address:** 1127 N PACIFIC AVE, GLENDALE, CA 91202-2358
- **Mailing address phone:** (818) 551-1127
- **Mailing address fax:** (818) 551-1167

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | 59938 | CA | Yes |

## Other

- **Enumeration date:** 03/08/2012
- **Last updated:** 03/08/2012