Individual provider · Type 1 NPI

Serge Baltayan, DDS, MD, MS

Oral and Maxillofacial Surgery (Dentist) · Los Angeles, CA

NPI number 1629459573 Active

Practice location

10833 Le Conte Ave
Los Angeles, CA 90095

Call (213) 973-7437 Map

Mailing address

PO Box 5561
Glendale, CA 91221-5561

Specialties and licenses

TaxonomyCodeLicense
Oral and Maxillofacial Surgery (Dentist) Primary 1223S0112X63026 (CA)

Oral and Maxillofacial Surgery (Dentist): The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.

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About NPI 1629459573

Serge Baltayan, DDS, MD, MS's National Provider Identifier is 1629459573, issued on Jun 17, 2015. The primary taxonomy on file is Oral and Maxillofacial Surgery (Dentist) (1223S0112X), and the practice location is in Los Angeles, CA. The record was last updated on Jun 30, 2018.