T Ghotanian DDS

NPI #1780012948 in La Canada, California

Provider Information

NPI Number: 1780012948
Entity Type: Organization
Organization Name: T Ghotanian DDS
Primary Specialty: Dentist
Enumeration Date: Oct 28, 2013
Last Updated: Oct 28, 2013

Practice Location

Address: 1370 FOOTHILL BLVD # 102
City: La Canada
State: California
ZIP Code: 91011-2150
Phone: (626) 792-0001

Authorized Official

Name: DR. TINA GHOTANIAN, DDS
Title: OWNER
Phone: (626) 792-0001

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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