Organization
AGHBASHIAN DENTAL CORP.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. NOVA AGHBASHIAN DDS (DENTAL PROVIDER / OWENR)
(818) 454-9308
Entity
Organization
Contact information
Practice address
1000 N CENTRAL AVE STE 130, GLENDALE, CA 91202-3686
(818) 242-8892
(818) 242-2650
Mailing address
1000 N CENTRAL AVE STE 130, GLENDALE, CA 91202-3686
(818) 242-8892
(818) 242-2650
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
61441
CALIFORNIA DENTAL BAORD
CA
Enumeration date
09/30/2020
Last updated
05/13/2021
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