Individual
MR. ANTRANIK TANIEL LALEIAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
300 W GLENOAKS BLVD, #203, GLENDALE, CA 91202-2941
(818) 500-3991
(818) 500-3914
Mailing address
300 W GLENOAKS BLVD, #203, GLENDALE, CA 91202-2941
(818) 500-3991
(818) 500-3914
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
42349
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
B42349-01
—
CA
Enumeration date
02/02/2007
Last updated
07/08/2007
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