| Tevan Oganesyan Dds Inc. California Professional Corporation | |
|
19534 Ventura Blvd Tarzana CA 91356-2917 | |
| (818) 355-3288 | |
| Not Available |
| Full Name | Tevan Oganesyan Dds Inc. California Professional Corporation |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 19534 Ventura Blvd, Tarzana, California |
| Authorized Official Name and Position | Tevan Oganesyan (CEO) |
| Authorized Official Contact | 8183553288 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Tevan Oganesyan Dds Inc. California Professional Corporation 19534 Ventura Blvd Tarzana CA 91356-2917 Ph: (818) 355-3288 | Tevan Oganesyan Dds Inc. California Professional Corporation 19534 Ventura Blvd Tarzana CA 91356-2917 Ph: (818) 355-3288 |
| NPI Number | 1336935949 |
|---|---|
| Provider Enumeration Date | 04/18/2025 |
| Last Update Date | 04/18/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336935949 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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