Organization
ANDRE ELIASIAN DDS INC
Active
Parent organization
ANDRE ELIASIAN DENTAL CORPORATION
Other names
Andre Eliasian DDS INC
Organization subpart
Yes
Provider details
NPI number
Legal business name
ANDRE ELIASIAN DENTAL CORPORATION
Authorized official
ANDRE ELIASIAN DDS (CEO)
(818) 391-0000
Entity
Organization
Contact information
Practice address
17800 CHATSWORTH ST, GRANADA HILLS, CA 91344-5611
(818) 391-0000
Mailing address
17800 CHATSWORTH ST, GRANADA HILLS, CA 91344-5611
(818) 391-0000
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
04/22/2024
Last updated
04/22/2024
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