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Individual

MRS. ALVINA LUSINYAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
D.D.S.

Contact information

Practice address
5005 HOLLYWOOD BLVD, LOS ANGELES, CA 90027-6103
(323) 662-9308
(323) 662-5970
Mailing address
5005 HOLLYWOOD BLVD, LOS ANGELES, CA 90027-6103
(323) 662-9308
(323) 662-5970

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
41947
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
41947
DENTIST
CA
05
B41947
CA
Enumeration date
09/13/2006
Last updated
07/09/2007
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