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General NPI Number Information
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NPI Number | 1184896409
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Entity Type | Organization
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Legal Business Name | KARINEH ASSATOURIAN DDS INC. PC
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Dates
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Enumeration Date | 03/26/2008
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Last Update Date | 10/06/2020
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Provider Practice Location Address
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Address Line | 1115 COLORADO BLVD.
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City | LOS ANGELES
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State | CA
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Zip | 90041
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Country | US
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Telephone | 323-255-4600
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Fax | 323-255-0394
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Provider Business Mailing Address
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Address Line | 941 MILMADA DR.
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City | LA CANADA FLINTRIDGE
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State | CA
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Zip | 91011
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Country | US
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Telephone | 818-749-1789
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Fax | 323-255-0394
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Authorized Official
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Title or Position | PRESIDENT/ OWNER
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Name | KARINEH E. ASSATOURIAN
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Credential | D.D.S
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Telephone | 818-749-1789
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 122300000X
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Taxonomy Name | Dentist
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License Number | 53328
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License Number State | MD
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