Individual
BENITA EVAZYAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
12143 MAGNOLIA BLVD, VALLEY VILLAGE, CA 91607-2609
(818) 506-0100
(818) 506-0700
Mailing address
12143 MAGNOLIA BLVD, VALLEY VILLAGE, CA 91607-2609
(818) 506-0100
(818) 506-0700
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
47472
CA
Other
Enumeration date
07/23/2007
Last updated
09/04/2012
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