Individual
DR. ANDRE MARDEROSIAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
3129 N SAN FERNANDO RD, LOS ANGELES, CA 90065
(818) 239-2217
Mailing address
418 E GLENOAKS BLVD STE 101, GLENDALE, CA 91207-2093
(818) 239-2217
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DDS102003
CA
Other
Enumeration date
09/20/2017
Last updated
09/20/2017
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