Organization
GLEN DENTAL STUDIO
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. STEPAN HARUTYUNYAN DMD (PRESIDENT)
(818) 568-6655
Entity
Organization
Contact information
Practice address
146 N BRAND BLVD, GLENDALE, CA 91203-2602
(818) 502-1999
Mailing address
146 N BRAND BLVD, GLENDALE, CA 91203-2602
(818) 502-1999
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
08/07/2020
Last updated
08/07/2020
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