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1821464801
MISAK MIKAYELYAN
GLENDALE, CA
NPI
1821464801
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: CA DDS64753)
Enumeration Date
2015-08-13
Last Update Date
2017-09-22
Business Address
-- MISAK MIKAYELYAN DDS
702 W BROADWAY
GLENDALE, CA 91204-1010
Phone number: 818-688-1453
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Mailing Address
-- MISAK MIKAYELYAN DDS
702 W BROADWAY
GLENDALE, CA 91204-1010
Phone number: 818-649-1980
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