Organization
BENJAMIN YAGOUBIAN DDS, MD A PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BENJAMIN YAGOUBIAN DDS, MD (DOCTOR)
(818) 404-2104
Entity
Organization
Contact information
Practice address
23451 MADISON ST STE 120, TORRANCE, CA 90505-4736
(818) 404-2104
Mailing address
4452 ESTRONDO DR, ENCINO, CA 91436-3263
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
OMS105
CA
Other
Enumeration date
09/02/2016
Last updated
09/02/2016
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