Organization
ASMIK MADOULIAN DDS INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ASMIK ANDRANIK MADOULIAN DDS (PRESIDENT)
(818) 762-9112
Entity
Organization
Contact information
Practice address
10903 MAGNOLIA BLVD, NORTH HOLLYWOOD, CA 91601-3904
(818) 762-9112
(818) 762-4974
Mailing address
10903 MAGNOLIA BLVD, NORTH HOLLYWOOD, CA 91601-3904
(818) 762-9112
(818) 762-4974
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
45287
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1881781201
NPI
CA
Enumeration date
06/13/2016
Last updated
06/13/2016
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