| Glen Dental Studio | |
|
146 N Brand Blvd Glendale CA 91203-2602 | |
| (818) 502-1999 | |
| Not Available |
| Full Name | Glen Dental Studio |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 146 N Brand Blvd, Glendale, California |
| Authorized Official Name and Position | Stepan Harutyunyan (PRESIDENT) |
| Authorized Official Contact | 8185686655 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Glen Dental Studio 146 N Brand Blvd Glendale CA 91203-2602 Ph: (818) 502-1999 | Glen Dental Studio 146 N Brand Blvd Glendale CA 91203-2602 Ph: (818) 502-1999 |
| NPI Number | 1154931772 |
|---|---|
| Provider Enumeration Date | 08/07/2020 |
| Last Update Date | 08/07/2020 |
| Certification Date | 08/07/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154931772 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | () | Primary |
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