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VAHE ANTANESIAN DDS

General Practice >> Dentist >> Dental Providers

Registrant NPI Number: 1285838730

Individual Registrant:
 VAHE  ANTANESIAN DDS
Gender: M
Not Sole Proprietor

Location and contact information for practice:
5819 ADENMOOR AVE  LAKEWOOD, CA 90713-1067 US
Tel: 805-570-0600  Fax: 805-579-3792

Contact information for business:
4210 E LOS ANGELES AVE STE F  SIMI VALLEY, CA 93063-3300 US
Tel: 805-570-0600  Fax: 805-579-3792

Registration Information:
NPI: 1285838730
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y1223G0001XDental Providers
Dentist
General Practice
CA46236

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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