Magnolia Gentle Dentistry
LBN: Evazyan Dental Corp
Magnolia Gentle Dentistry is an health care organization with primary practice located at 12143 Magnolia Blvd , Valley Village CA 91607-2609. The organization recently has only one registered license in Dental Providers / Dentist, which is considered as the primary health care specialty.
Evazyan Dental Corp can be contacted via phone (818) 506-0100, or through Evazyan, Benita via phone (818) 506-0100.
Contact Information
Primary practice address
12143 Magnolia Blvd
Valley Village CA 91607-2609
Phone: (818) 506-0100
Fax: (818) 506-0700
Website:
Authorized official contact:
Name: Evazyan, Benita Doctor of Dental Medicine (DMD)
Phone: (818) 506-0100
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Dentist | 122300000X | 47472 | California |
| Dental Providers / Dentist | 122300000X | 43949 | California |
Profile Details
| NPI number | 1104987445 |
|---|---|
| LBN Legal business name | Evazyan Dental Corp |
| DBA Doing business as | Magnolia Gentle Dentistry |
| Authorized official | Evazyan, Benita Doctor of Dental Medicine (DMD) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Dec 12th, 2006 |
| Last updated | Sep 4th, 2012 - about 14 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
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