Edith Gevorgian in Glendale - Periodontics

Edith Gevorgian - NPI 1063597417

Edith Gevorgian is a Periodontics in Glendale, California. Edith Gevorgian practices all healthcare services and medical treatments related to Periodontics. The NPI Number for Edith Gevorgian is 1063597417. The last update date is 2007-07-08.

Edith Gevorgian's current location address is 332 E Glenoaks Blvd, Glendale, California. You can contact this provider via phone number 8182442181 and fax number 8182442959. The mailing address for Edith Gevorgian is 332 E Glenoaks Blvd, Glendale, California. To know further, please read the information below!

Provider Profile Detail

Provider Name Edith Gevorgian
Address 332 E Glenoaks Blvd, Glendale, California
Phone Number 8182442181
Fax Number 8182442959
Sole Proprietor N
Credentials DDS

NPI Number Detail

NPI Number 1063597417
Provider Enumeration Date 2006-10-26
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 332 E Glenoaks Blvd
City Glendale
State California (CA)
Post Code 91207
Phone Number 8182442181
Fax Number 8182442959

Provider's Primary Taxonomy Detail

Speciality Periodontics
Taxonomy 1223P0300X
Licence No 37332
Definition:
That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structure

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FAQs about Edith Gevorgian

What is the unique 10-digit identifier code issued to Edith Gevorgian by the Centers for Medicare & Medicaid Services?

The Edith Gevorgian has been assigned the NPI (National Provider Identifier) 1063597417 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.

Could you provide the complete address where Edith Gevorgian is physically located?

The Edith Gevorgian is situated at the following address: 332 E Glenoaks Blvd, Glendale, CA 91207.

What is the Edith Gevorgian's specialty and taxonomy code?

The Edith Gevorgian's specialty is Periodontics, and the corresponding taxonomy code is 1223P0300X.

On what date did the Edith Gevorgian receive its 1063597417 assignment from the Centers for Medicare & Medicaid Services?

The Edith Gevorgian was assigned its 1063597417 by the Centers for Medicare & Medicaid Services on 2006-10-26.

When was the Edith Gevorgian's information last updated?

The Edith Gevorgian's information was last updated on 2007-07-08.

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