Individual
ANI HOVHANNISYAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
10012 GARVEY AVE STE 11, EL MONTE, CA 91733-2086
(626) 433-1300
Mailing address
578 N HOLLISTON AVE APT 2, PASADENA, CA 91106-1236
(818) 554-8848
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
108505
CA
1223G0001X
General Practice Dentistry
108505
CA
Other
Enumeration date
02/02/2023
Last updated
02/02/2023
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