Michaelian Endodontic Dental Group INC
NPI #1578012027 in Daly City, California
Provider Information
- NPI Number
- 1578012027
- Entity Type
- Organization
- Organization Name
- Michaelian Endodontic Dental Group INC
- Primary Specialty
- Dentist - Endodontics
- Enumeration Date
- Sep 26, 2016
- Last Updated
- Sep 26, 2016
Practice Location
- Address
- 341 GELLERT BLVD STE C
- City
- Daly City
- State
- California
- ZIP Code
- 94015-2616
- Phone
- (650) 994-2710
Authorized Official
- Name
- MARSHALL J MICHAELIAN, D.M.D
- Title
- OWNER/PRESIDENT
- Phone
- (650) 994-2710
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - Endodontics — Endodontics |
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