DR. Tina Ghotanian, DDS

NPI #1366530537 in Toluca Lake, California

Provider Information

NPI Number: 1366530537
Entity Type: Individual
Name: DR. Tina Ghotanian, DDS
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Dentist
Credential: DDS
Enumeration Date: Oct 11, 2006
Last Updated: Jul 8, 2007

Practice Location

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

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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