Individual
RAYMOND GRIGORIAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S
Contact information
Practice address
4646 LOWELL AVE, LA CRESCENTA, CA 91214-1634
(818) 541-1421
Mailing address
4646 LOWELL AVE, LA CRESCENTA, CA 91214-1634
(818) 541-1421
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
49892
CA
Other
Enumeration date
01/30/2009
Last updated
01/30/2009
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