DMITRIY GEN

GLENDALE, CA
NPI1962701227
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy207Q00000X Family Medicine
(Licence: CA  20A11253)
Enumeration Date2011-03-24
Last Update Date2011-06-30
Business Address
-- DMITRIY GEN D.O.
1560 E CHEVY CHASE DR
GLENDALE, CA 91206-4197
Phone number: 818-246-5900
Mailing Address
-- DMITRIY GEN D.O.
1560 E CHEVY CHASE DR
GLENDALE, CA 91206-4197
Phone number: 818-246-5900
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