Organization
STEPHAN MORADIANS DDS A PROF. CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. STEPAN MORADIANS DDS (OWNER)
(818) 409-0924
Entity
Organization
Contact information
Practice address
600 W BROADWAY STE 120, GLENDALE, CA 91204-1023
(818) 409-0924
(818) 409-8940
Mailing address
600 W BROADWAY STE 120, GLENDALE, CA 91204-1023
(818) 409-0924
(818) 409-8940
Taxonomy
Speciality
Code
Description
License number
State
1223D0001X
Public Health Dentistry
Primary
34527
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
G9378501
—
CA
Enumeration date
01/05/2015
Last updated
01/05/2015
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