Individual
YERVAND MATEVOSYAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
7749 AGATE BEACH WAY, ANTELOPE, CA 95843-6036
(916) 844-4004
Mailing address
7749 AGATE BEACH WAY, ANTELOPE, CA 95843-6036
(916) 844-4004
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
562
CA
Other
Enumeration date
03/02/2015
Last updated
03/02/2015
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