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General NPI Number Information
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NPI Number | 1528927118
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Entity Type | Organization
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Legal Business Name | GURGEN ABAZYAN, D.M.D, INC.
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Dates
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Enumeration Date | 01/19/2026
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Last Update Date | 01/21/2026
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Provider Practice Location Address
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Address Line | 1720 E LOS ANGELES AVE STE 202
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City | SIMI VALLEY
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State | CA
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Zip | 93065-2093
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Country | US
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Telephone | 805-926-7464
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Fax |
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Provider Business Mailing Address
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Address Line | 1720 E LOS ANGELES AVE STE 202
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City | SIMI VALLEY
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State | CA
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Zip | 93065-2093
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | GURGEN ABAZYAN
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Credential |
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Telephone | 818-699-3391
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number |
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License Number State |
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