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Individual

ANDRE ELIASIAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DDS

Contact information

Practice address
1249 W GLENOAKS BLVD, GLENDALE, CA 91201-2238
(818) 649-1772
(818) 649-1774
Mailing address
1249 W GLENOAKS BLVD, GLENDALE, CA 91201-2238
(818) 649-1772
(818) 649-1774

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
62927
CA
1223G0001X
General Practice Dentistry
62927
CA

Other

Enumeration date
09/04/2013
Last updated
04/22/2024
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