Organization
ALEXANDRE HK TAVITIAN DDS, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ALEXANDRE HK TAVITIAN DDS (PRESIDENT)
(818) 955-7788
Entity
Organization
Contact information
Practice address
2625 W ALAMEDA AVE, 420, BURBANK, CA 91505-4806
(818) 955-7788
Mailing address
PO BOX 2448, TOLUCA LAKE, CA 91610-0448
(818) 955-7788
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
40891
CA
Other
Enumeration date
05/20/2008
Last updated
05/20/2008
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