IVY AVANESSIAN FUA, DDS, INC

BURBANK, CA
NPI1770114829
Other NameIVY AVANESSIAN FUA, DDS, INC
Entity TypeOrganization
Authorized ContactIVY AVANESSIAN FUA
President
818-846-1733
Organization Subpart ?No
Primary Taxonomy261QD0000X Clinic/Center, Dental
Enumeration Date2020-01-28
Last Update Date2020-01-28
Business Address
IVY AVANESSIAN FUA, DDS, INC
3923 W BURBANK BLVD
BURBANK, CA 91505-2118
Phone number: 818-846-1733
Mailing Address
IVY AVANESSIAN FUA, DDS, INC
3923 W BURBANK BLVD
BURBANK, CA 91505-2118
Phone number: 818-846-1733