Benita Evazyan is a Dentist in Valley Village, California. Benita Evazyan practices all healthcare services and medical treatments related to Dentist. The NPI Number for Benita Evazyan is 1144420795. The last update date is 2012-09-04.
Benita Evazyan's current location address is 12143 Magnolia Blvd, Valley Village, California. You can contact this provider via phone number 8185060100 and fax number 8185060700. The mailing address for Benita Evazyan is 12143 Magnolia Blvd, Valley Village, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Benita Evazyan |
|---|---|
| Address | 12143 Magnolia Blvd, Valley Village, California |
| Phone Number | 8185060100 |
| Fax Number | 8185060700 |
| Sole Proprietor | Y |
| Credentials | DMD |
NPI Number Detail
| NPI Number | 1144420795 |
|---|---|
| Provider Enumeration Date | 2007-07-23 |
| Last Updated Date | 2012-09-04 |
Provider Mailing Address Detail
| Address | 12143 Magnolia Blvd |
|---|---|
| City | Valley Village |
| State | California (CA) |
| Post Code | 916072609 |
| Phone Number | 8185060100 |
| Fax Number | 8185060700 |
Provider's Primary Taxonomy Detail
| Speciality | Dentist |
|---|---|
| Taxonomy | 122300000X |
| Licence No | 47472 |
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Definition: A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: denti |
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What is the Benita Evazyan's 1144420795?
The Benita Evazyan's NPI (National Provider Identifier) Number is 1144420795. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Can you provide the Benita Evazyan's physical address?
The Benita Evazyan is physically located at 12143 Magnolia Blvd, in the city of Valley Village, CA, with the postal code 916072609.
What is the area of specialization for Benita Evazyan, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Benita Evazyan is Dentist, and the corresponding taxonomy code that categorizes this area of expertise is 122300000X.
On what date did the Benita Evazyan receive its 1144420795 assignment from the Centers for Medicare & Medicaid Services?
The Benita Evazyan was assigned its 1144420795 by the Centers for Medicare & Medicaid Services on 2007-07-23.
As of what date were the Benita Evazyan's details last updated?
The information pertaining to the Benita Evazyan, including its address, specialty, and other details, was most recently updated on 2012-09-04.