Nicole Mahanian, D.d.s., Inc.
NPI #1063025815 in San Fernando, California
Provider Information
- NPI Number
- 1063025815
- Entity Type
- Organization
- Organization Name
- Nicole Mahanian, D.d.s., Inc.
- Primary Specialty
- Clinic/Center - Dental
- Enumeration Date
- Aug 30, 2020
- Last Updated
- Aug 30, 2020
Practice Location
- Address
- 608 N MACLAY AVE
- City
- San Fernando
- State
- California
- ZIP Code
- 91340-2137
- Phone
- (310) 486-4772
Authorized Official
- Name
- DR. NICOLE MAHANIAN, DDS
- Title
- PRESIDENT
- Phone
- (310) 853-2240
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Dental — Dental |
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