Organization
DR. MHER GRIGORYAN DDS DENTAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MHER GRIGORYAN (PRESIDENT)
(747) 272-9649
Entity
Organization
Contact information
Practice address
2036 LINCOLN AVE, PASADENA, CA 91103-1323
(747) 272-9649
Mailing address
2036 LINCOLN AVE, PASADENA, CA 91103-1323
(747) 272-9649
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
53219
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000532190
—
CA
Enumeration date
05/11/2017
Last updated
06/16/2022
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