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VAHE ANTANESIAN DDS
General Practice >> Dentist >> Dental ProvidersRegistrant NPI Number: 1285838730
Individual Registrant: VAHE ANTANESIAN DDS
Gender: M
Not Sole Proprietor
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
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
Tel: 805-570-0600 Fax: 805-579-3792
Registration Information:
NPI: 1285838730
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 1223G0001X | Dental Providers Dentist General Practice | CA | 46236 |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
