Individual
AVEDIS V BOGHOSSIAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S
Contact information
Practice address
430 S CENTRAL AVE, GLENDALE, CA 91204-1602
(818) 241-6598
(818) 241-6599
Mailing address
430 S CENTRAL AVE, GLENDALE, CA 91204-1602
(818) 241-6598
(818) 241-6599
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
B42807
CA
Other
Enumeration date
04/23/2007
Last updated
07/08/2007
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