Tina Ghotanian DDS PC

NPI #1235258435 in Toluca Lake, California

Provider Information

NPI Number: 1235258435
Entity Type: Organization
Organization Name: Tina Ghotanian DDS PC
Primary Specialty: Dentist
Enumeration Date: Mar 28, 2007
Last Updated: Aug 22, 2020

Practice Location

Address: 10916 RIVERSIDE DR
City: Toluca Lake
State: California
ZIP Code: 91602-2210
Phone: (818) 762-9966

Authorized Official

Name: DR. TINA GHOTANIAN, DDS
Title: PRESIDENT
Phone: (818) 762-9966

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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