Individual
VAZGEN TERVARDANYAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RDHAP
Contact information
Practice address
23772 NEWHALL AVE, NEWHALL, CA 91321-3125
(661) 291-1777
(661) 255-1208
Mailing address
25115 AVENUE STANFORD STE A-104, VALENCIA, CA 91355-1290
(661) 257-2339
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
HAP234
CA
Other
Enumeration date
12/01/2020
Last updated
12/01/2020
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