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NPI Code Detail

MEDICARE: DR. SONA GEORGIAN D.D.S.

MEDICARE:  DR. SONA  GEORGIAN  D.D.S.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11223G0001XGeneral Practice Dentistry51255CA

General Provider Information

NPI Number : 1992865711
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. SONA GEORGIAN D.D.S.
Provider Business Mailing Address
First Line : 6136 LANDINO DR
Second Line :
City : WESTLAKE VILLAGE
State : CA
Zip : 91362-4125
Country : US
Telephone Number : 818-735-0561
Fax Number :
Provider Business Practice Location Address
First Line : 32144 AGOURA RD
Second Line : SUITE 213
City : WESTLAKE VILLAGE
State : CA
Zip : 91361-4031
Country : US
Telephone Number : 818-991-4664
Fax Number : 818-991-4664
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/11/2006
Last Update Date : 07/08/2007

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Directions to “ DR. SONA GEORGIAN D.D.S.” Practice Location

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