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1477617066
VICKEN A DERBALIAN
TARZANA, CA
NPI
1477617066
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: CA dg035868)
Enumeration Date
2006-12-20
Last Update Date
2007-07-08
Business Address
Dr. VICKEN A DERBALIAN d.d.s
18740 VENTURA BLVD STE 201
TARZANA, CA 91356-6308
Phone number: 818-609-7772
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Mailing Address
Dr. VICKEN A DERBALIAN d.d.s
18740 VENTURA BLVD STE 201
TARZANA, CA 91356-6308
Phone number: 818-609-7772
Copy
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