Organization
VRAM J. KARGODORIAN D.D.S.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. VRAM J KARGODORIAN D.D.S. (DENTIST)
(818) 701-5311
Entity
Organization
Contact information
Practice address
18250 ROSCOE BLVD, 355, NORTHRIDGE, CA 91325-4226
(818) 701-5311
Mailing address
18250 ROSCOE BLVD, 355, NORTHRIDGE, CA 91325
(818) 701-5311
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
39820
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
G93557-01
DENTICAL
CA
Enumeration date
07/13/2007
Last updated
07/13/2007
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