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Organization

ARMEN MANSSOURIAN

Active
Organization subpart
No

Provider details

NPI number
Authorized official
JOSEPH LOUIS SAVERY (PRACTICE MANAGER)
(818) 242-2667
Entity
Organization

Contact information

Practice address
1122 N BRAND BLVD STE 102, GLENDALE, CA 91202-2570
(818) 242-2667
(818) 242-2667
Mailing address
1122 N BRAND BLVD STE 102, GLENDALE, CA 91202-2570
(818) 242-2667
(818) 242-2667

Taxonomy

Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary

Other

Enumeration date
07/19/2017
Last updated
07/21/2022
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