Individual
TENNY BALABEGIAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
10028 LEONA ST, TUJUNGA, CA 91042-2535
(818) 399-0550
Mailing address
10028 LEONA ST, TUJUNGA, CA 91042-2535
(818) 399-0550
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
6190
NV
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
63243
CA
Other
Enumeration date
04/13/2011
Last updated
05/08/2015
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