Evazyan Dental Corp
NPI #1104987445 in Valley Village, California
Provider Information
- NPI Number
- 1104987445
- Entity Type
- Organization
- Organization Name
- Evazyan Dental Corp
- Primary Specialty
- Dentist
- Enumeration Date
- Dec 12, 2006
- Last Updated
- Sep 4, 2012
Practice Location
- Address
- 12143 MAGNOLIA BLVD
- City
- Valley Village
- State
- California
- ZIP Code
- 91607-2609
- Phone
- (818) 506-0100
Authorized Official
- Name
- DR. BENITA EVAZYAN, DMD
- Title
- DENTIST
- Phone
- (818) 506-0100
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist |
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