Individual
DIKRAN MANOUILLIAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S
Contact information
Practice address
6745 WOODMAN AVE, VAN NUYS, CA 91401-1024
(818) 497-6242
Mailing address
3710 ENCINAL AVE, LA CRESCENTA, CA 91214-2418
(818) 497-6242
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
110283
CA
Other
Enumeration date
08/13/2024
Last updated
08/27/2024
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