Organization
V A HALAJIAN DENTAL CORPORATION
Active
Other names
Dental Specialty Group of Glendale
Organization subpart
No
Provider details
NPI number
Authorized official
DR. VIC HALAJIAN (PRESIDENT)
(818) 416-4776
Entity
Organization
Contact information
Practice address
230 N MARYLAND AVE, SUITE 206, GLENDALE, CA 91206-4261
(818) 547-2804
(818) 502-1197
Mailing address
230 N MARYLAND AVE, SUITE 206, GLENDALE, CA 91206-4261
(818) 547-2804
(818) 502-1197
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
56717
CA
1223P0221X
Pediatric Dentistry
58380
CA
1223P0300X
Periodontics
30624
CA
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
55829
CA
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
57793
CA
Other
Enumeration date
10/24/2013
Last updated
10/24/2013
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