Organization · Type 2 NPI
Ivy Avanessian Fua, Dds, Inc
Dental Clinic/Center · Burbank, CA
NPI number
1770114829
Active
Practice location
3923 W Burbank Blvd
Burbank, CA 91505-2118
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dental Clinic/Center Primary | 261QD0000X | None listed |
Dental Clinic/Center: Definition to come...
Another provider at this address
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About NPI 1770114829
Ivy Avanessian Fua, Dds, Inc's National Provider Identifier is 1770114829, issued on Jan 28, 2020. The primary taxonomy on file is Dental Clinic/Center (261QD0000X), and the practice location is in Burbank, CA. The record was last updated on Jan 28, 2020.