Individual
GARY K. KEVORKIAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S., M.S.
Contact information
Practice address
332 E GLENOAKS BLVD, SUITE 200, GLENDALE, CA 91207-2170
(818) 244-8663
(818) 244-0527
Mailing address
332 E GLENOAKS BLVD, SUITE 200, GLENDALE, CA 91207-2170
(818) 244-8663
(818) 244-0527
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
35920
CA
Other
Enumeration date
01/31/2007
Last updated
07/08/2007
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