Organization
E YAZICHIAN DENTAL CORP
Active
Other names
SMILE ENCINO DENTAL
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ELIZA YAZICHIAN DDS (DENTIST)
(818) 990-9660
Entity
Organization
Contact information
Practice address
16133 VENTURA BLVD STE 1070, ENCINO, CA 91436-2440
(818) 990-9660
(818) 990-9669
Mailing address
PO BOX 4223, BURBANK, CA 91503-4223
(213) 800-5164
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
06/28/2019
Last updated
01/15/2021
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