Individual
DR. ALICE CHALIAN MANOUKIAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
1512 W BURBANK BLVD, BURBANK, CA 91506-1309
(818) 761-5863
(818) 843-1663
Mailing address
1512 W BURBANK BLVD, BURBANK, CA 91506-1309
(818) 761-5863
(818) 843-1663
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
33558
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
33558
CA DENTAL LICENSE NUMBER
CA
05
—
G90617-01
—
CA
Enumeration date
05/23/2007
Last updated
06/24/2019
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