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NPI 1538324306

NPI 1538324306 : OHANIAN DENTAL CORPORATION : SHERMAN OAKS, CA

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General NPI Number Information
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    NPI Number           |    1538324306
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    Entity Type          |    Organization 
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    Legal Business Name  |    OHANIAN DENTAL CORPORATION 
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Dates
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    Enumeration Date     |    07/22/2008
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    Last Update Date     |    03/14/2022
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Provider Practice Location Address
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    Address Line         |    4910 VAN NUYS SUITE #208
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    City                 |    SHERMAN OAKS
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    State                |    CA
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    Zip                  |    91403
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    Country              |    US
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    Telephone            |    818-453-8016
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    Fax                  |    818-453-8829
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Provider Business Mailing Address
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    Address Line         |    4910 VAN NUYS SUITE #208
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    City                 |    SHERMAN OAKS
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    State                |    CA
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    Zip                  |    91403
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    Country              |    US
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    Telephone            |    818-453-8016
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    Fax                  |    818-453-8829
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Authorized Official
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    Title or Position    |    DENTIST/OWNER
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    Name                 |    DR. ARMINE OHANIAN KASSABIAN 
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    Credential           |    DMD
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    Telephone            |    818-442-1715
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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       |    54481
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    License Number State |    CA
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