Tatiana Mikaelian DDS INC
Dentist in Glendale, CA. Organization (NPI-2).
NPI number1760635619
StatusActive
Last updated in NPPESOct 23, 2008
Details
- NPI
- 1760635619
- Entity type
- Organization (NPI-2)
- Legal business name
- Tatiana Mikaelian DDS INC
- Organization subpart
- No
- Enumeration date
- Oct 23, 2008
- Last updated
- Oct 23, 2008
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 122300000X | Dentist | 53716 | CA | Yes |
Practice location
1209 N. Central Ave#203
Glendale, CA 91202
Phone 213-840-3229
Mailing address
7441 Donna AveReseda, CA 91335-2508
Phone 213-840-3229 · Fax 818-705-4066
Authorized official
Tatiana Mikaelian
President
2138403229
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