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Andonian Dental Corp

Dentist, General Practice in Fountain Valley, CA. Organization (NPI-2).

NPI number1003641978
StatusActive
Last updated in NPPESSep 3, 2024

Details

NPI
1003641978
Entity type
Organization (NPI-2)
Legal business name
Andonian Dental Corp
Organization subpart
No
Enumeration date
Sep 3, 2024
Certification date
Sep 3, 2024
Last updated
Sep 3, 2024

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
1223G0001X Dentist, General Practice––Yes
1223P0300X Dentist, Periodontics––
1223S0112X Dentist, Oral and Maxillofacial Surgery––

Other names

  • Fountain Valley Smiles (Doing Business As)

Practice location

18430 Brookhurst St Ste 104
Fountain Valley, CA 92708-6726

Phone 714-963-3005

Mailing address

17312 Drey Ln
Huntington Beach, CA 92647-5616

Phone 614-256-6636

Authorized official

Christopher William Andonian
President
6142566636

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