Evazyan Dental Corp in Valley Village - Dentist
Evazyan Dental Corp - NPI 1104987445
Evazyan Dental Corp is a Dentist in Valley Village, California. Evazyan Dental Corp practices all healthcare services and medical treatments related to Dentist. The NPI Number for Evazyan Dental Corp is 1104987445. The last update date is 2012-09-04.
Evazyan Dental Corp'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 Evazyan Dental Corp is 12143 Magnolia Blvd, Valley Village, California. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Evazyan Dental Corp |
|---|---|
| Address | 12143 Magnolia Blvd, Valley Village, California |
| Phone Number | 8185060100 |
| Fax Number | 8185060700 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | DENTIST |
|---|---|
| Authorized Official Name | Evazyan Benita |
| Credentials | DMD |
| Telephone Number | 8185060100 |
NPI Number Detail
| NPI Number | 1104987445 |
|---|---|
| Provider Enumeration Date | 2006-12-12 |
| 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 Evazyan Dental Corp's unique identification number?
The Evazyan Dental Corp has been assigned the NPI (National Provider Identifier) Number 1104987445 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you share the physical location details of Evazyan Dental Corp?
The Evazyan Dental Corp is situated at 12143 Magnolia Blvd, in the city of Valley Village, state of CA, with the zip code 916072609.
What is Evazyan Dental Corp's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Evazyan Dental Corp is Dentist, and the taxonomy classification code that categorizes this area of expertise is 122300000X.
When did Evazyan Dental Corp receive its 1104987445 assignment?
The Evazyan Dental Corp was assigned its 1104987445 on 2006-12-12, which is the date when this unique identifier was issued to the organization.
When was the Evazyan Dental Corp's information last updated?
The Evazyan Dental Corp's information was last updated on 2012-09-04.