Organization
BETTY AIVAZIAN DDS LTD
Active
Other names
AIVAZIAN DENTAL
Organization subpart
No
Provider details
NPI number
Authorized official
MS. TALEEN AIVAZIAN (OFFICE MANAGER)
(847) 228-5523
Entity
Organization
Contact information
Practice address
1128 S ELMHURST RD, MT PROSPECT, IL 60056-4241
(847) 228-5523
Mailing address
1128 S ELMHURST RD, MT PROSPECT, IL 60056-4241
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
019019768
IL
Other
Enumeration date
01/12/2010
Last updated
07/18/2025
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