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1407050602
ALEXANDRE TAVITIAN
BURBANK, CA
NPI
1407050602
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
122300000X Dentist
(Licence: CA 40891)
Enumeration Date
2007-06-12
Last Update Date
2007-07-08
Business Address
Dr. ALEXANDRE TAVITIAN DDS
2625 W ALAMEDA AVE 420
BURBANK, CA 91505-4806
Phone number: 818-955-7788
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Mailing Address
Dr. ALEXANDRE TAVITIAN DDS
2625 W ALAMEDA AVE 420
BURBANK, CA 91505-4806
Phone number: 818-955-7788
Copy
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