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Organization
DR. MHER GRIGORYAN DDS DENTAL CORPORATION
Active
Organization
DR. MHER GRIGORYAN DDS DENTAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MHER GRIGORYAN (PRESIDENT)
(747) 272-9649
Entity
Organization
Contact information
Practice address
2036 LINCOLN AVE, PASADENA, CA 91103-1323
(747) 272-9649
Mailing address
2036 LINCOLN AVE, PASADENA, CA 91103-1323
(747) 272-9649
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
53219
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000532190
—
CA
Enumeration date
05/11/2017
Last updated
06/16/2022
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