Organization
NISHAN W. MATOSSIAN, D.D.S
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SARA JULIETTE BOYADJIAN (MANAGER)
(818) 888-2700
Entity
Organization
Contact information
Practice address
43845 10TH ST W STE 1A, LANCASTER, CA 93534-4800
(661) 948-9646
Mailing address
43845 10TH ST W STE 1A, LANCASTER, CA 93534-4800
(661) 948-9646
Taxonomy
Speciality
Code
Description
License number
State
305R00000X
Preferred Provider Organization
Primary
37449
CA
Other
Enumeration date
10/19/2011
Last updated
10/19/2011
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