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Individual

LEAH ANDRIASIAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DDS, MS

Contact information

Practice address
925 W 34TH ST # 102, LOS ANGELES, CA 90089-1003
(213) 740-5006
Mailing address
221 N 3RD ST, BURBANK, CA 91502-1202

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
106716
CA
1223P0300X
Periodontics
Primary
106716
CA

Other

Enumeration date
05/29/2020
Last updated
10/15/2024
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