Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Dental |
261QD0000X | |||
Endodontics |
1223E0200X | |||
General Practice |
1223G0001X | |||
Oral and Maxillofacial Surgery |
1223S0112X | 19 | Oral Surgery (Dentist only) | |
Orthodontics and Dentofacial Orthopedics |
1223X0400X |
| NPI Number | 1750057535 |
| LBN Legal business name | BURBANK TAROIAN DENTAL INC |
| Authorized official | HARMICK TAROIAN - (PRESIDENT) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | 08/20/2021 |
| Last updated | 08/20/2021 - About 5 years ago |
| Identifiers | n/a |
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