Organization
SERGEY TATULYAN DDS, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SERGEY TATULYAN (PRESIDENT)
(818) 885-7116
Entity
Organization
Contact information
Practice address
18856 ROSCOE BLVD STE A, NORTHRIDGE, CA 91324-6302
(818) 885-7116
(818) 885-1904
Mailing address
18856 ROSCOE BLVD STE A, NORTHRIDGE, CA 91324-6302
(818) 885-7116
(818) 885-1904
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
03/17/2014
Last updated
03/17/2014
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