Organization · Type 2 NPI
15719 Vanowen ST Dental Group of Yeghisheh Mirzoyan DDS Inc
Dental Clinic/Center · Van Nuys, CA
NPI number
1558053025
Active
Practice location
15719 Vanowen St
Van Nuys, CA 91406-5030
Mailing address
6440 Greenbush Ave
Van Nuys, CA 91401-1839
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dental Clinic/Center Primary | 261QD0000X | None listed |
| Oral and Maxillofacial Surgery Clinic/Center | 261QS0112X | None listed |
Dental Clinic/Center: Definition to come...
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About NPI 1558053025
15719 Vanowen ST Dental Group of Yeghisheh Mirzoyan DDS Inc's National Provider Identifier is 1558053025, issued on May 23, 2023. The primary taxonomy on file is Dental Clinic/Center (261QD0000X), and the practice location is in Van Nuys, CA. The record was last updated on May 23, 2023.