| Derik Alexanians DDS APC | |
|
520 E. Broadway Suite 102 Glendale CA 91205 | |
| (818) 242-4046 | |
| (818) 244-6110 |
| Full Name | Derik Alexanians DDS APC |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 520 E. Broadway, Glendale, California |
| Authorized Official Name and Position | Derik Alexanians (OWNER) |
| Authorized Official Contact | 8186325940 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Derik Alexanians DDS APC 260 Kempton Rd Glendale CA 91202 Ph: (818) 242-4046 | Derik Alexanians DDS APC 520 E. Broadway Suite 102 Glendale CA 91205 Ph: (818) 242-4046 |
| NPI Number | 1427292770 |
|---|---|
| Provider Enumeration Date | 04/29/2009 |
| Last Update Date | 04/29/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1427292770 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 51319 (California) | Primary |
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