| Atrium Dental | |
|
221 E Glenoaks Blvd Ste 210 Glendale CA 91207-2165 | |
| (818) 926-8284 | |
| Not Available |
| Full Name | Atrium Dental |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 221 E Glenoaks Blvd Ste 210, Glendale, California |
| Authorized Official Name and Position | Harry Harapet Elyassi (DENTIST) |
| Authorized Official Contact | 8182969660 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Atrium Dental 221 E Glenoaks Blvd Ste 210 Glendale CA 91207-2165 Ph: (818) 296-9660 | Atrium Dental 221 E Glenoaks Blvd Ste 210 Glendale CA 91207-2165 Ph: (818) 926-8284 |
| NPI Number | 1871142505 |
|---|---|
| Provider Enumeration Date | 09/05/2019 |
| Last Update Date | 09/25/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1871142505 | NPI | - | NPPES |
| 100246 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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