| Mddds Group Inc | |
|
7317 Reseda Blvd Reseda CA 91335-8122 | |
| (818) 776-0055 | |
| (818) 776-8868 |
| Full Name | Mddds Group Inc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 7317 Reseda Blvd, Reseda, California |
| Authorized Official Name and Position | Ambartsum Maytesyan (CEO) |
| Authorized Official Contact | 8187760055 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mddds Group Inc 7317 Reseda Blvd Reseda CA 91335-8122 | Mddds Group Inc 7317 Reseda Blvd Reseda CA 91335-8122 Ph: (818) 776-0055 |
| NPI Number | 1134956717 |
|---|---|
| Provider Enumeration Date | 09/17/2024 |
| Last Update Date | 09/17/2024 |
| Certification Date | 09/17/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134956717 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (NU) | Primary |
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