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General NPI Number Information
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NPI Number | 1699968149
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Entity Type | Organization
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Legal Business Name | ARMAN PETROSYAN D.D.S. INC
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Dates
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Enumeration Date | 08/18/2007
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Last Update Date | 09/17/2021
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Provider Practice Location Address
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Address Line | 1009 GLENOAKS BLVD
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City | SAN FERNANDO
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State | CA
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Zip | 91340-1436
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Country | US
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Telephone | 818-361-3889
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Fax | 818-361-6280
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Provider Business Mailing Address
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Address Line | 1009 GLENOAKS BLVD
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City | SAN FERNANDO
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State | CA
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Zip | 91340-1436
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Country | US
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Telephone | 818-361-3889
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Fax | 818-361-6280
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Authorized Official
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Title or Position | PRESIDENT
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Name | ARMAN PETROSYAN
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Credential | D.D.S.
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Telephone | 213-448-1779
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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 | 51129
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License Number State | CA
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