Tina Ghotanian Dds Pc

NPI 1235258435 - Dentist - 122300000X

NPI Details
NPI 1235258435
Enumeration Date 03/28/2007
Last Updated 07/08/2007
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name TINA TINA
Position PRESIDENT
Phone (818) 762-9966
Fax
Practice Location
10916 RIVERSIDE DR
TOLUCA LAKE CA, 91602-2210, US
Phone (818) 762-9966
Fax
Business Location
10916 RIVERSIDE DR
TOLUCA LAKE CA, 91602-2210, US
Phone (818) 762-9966
Fax
Toxanomy
Taxonomy Code 122300000X
License State California
License Number 47079
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According to our database, Tina Ghotanian Dds Pc NPI is 1235258435, taxonomy code is 122300000X and license number is 47079, license state is located at California. Tina Ghotanian Dds Pc physically located at 10916 Riverside Dr, Toluca Lake CA, 91602-2210. NPI Number 1033115704 has the healthcare provider type.

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1235258435 NPI number is provided on an as is basis without warranty of any kind. 1235258435 is maintained by the National Plan & Provider Enumeration System. The contents of Tina Ghotanian Dds Pc are for informational purposes only.