Whalio Doctors

NPI 1891309233

Nana Avetisyan

Practitioner Dental Assistant Van Nuys, CA

Practice location

Address
13716 Sherman Way, Van Nuys, CA 91405-2626
Phone
(818) 744-5102
Mailing address
7015 Fulton Ave APT 5, North Hollywood, CA 91605-4424

Registered specialties

Dental Assistant Primary
Dental Providers Taxonomy 126800000X Licence RDA94891 (CA)

Registry record

NPI
1891309233
Entity type
Individual
Sex (as registered)
Female
NPI issued
2 Sep 2020
Record last updated
2 Sep 2020

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.