Organization
GRIGORYAN PROFESSIONAL DENTAL CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VAHAN GRIGORYAN D.D.S. (OWNER/DENTIST)
(909) 291-8625
Entity
Organization
Contact information
Practice address
485 E FOOTHILL BLVD, E, UPLAND, CA 91786-3987
(909) 291-8625
(909) 291-8629
Mailing address
485 E FOOTHILL BLVD, E, UPLAND, CA 91786-3987
(909) 291-8625
(909) 291-8629
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
09/04/2013
Last updated
09/04/2013
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