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EDVIN AGADZHANOV DDS INC NPI 1356655765


NPI Information

NPI: 1356655765
Provider Name: EDVIN AGADZHANOV DDS INC
Classification: Dentist - 1223G0001X
Entity Type: Organization

Specialization: General Practice

Address:
18984 SOLEDAD CANYON RD
CANYON COUNTRY, CA
ZIP 91351
Phone: (661) 251-5556
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EDVIN AGADZHANOV DDS INC is a general practice dentist in Canyon Country, CA. The provider is a general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. EDVIN AGADZHANOV DDS INC NPI is 1356655765. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

18984 SOLEDAD CANYON RD
CANYON COUNTRY, CA
ZIP 91351-360
Phone: (661) 251-5556

The provider's authorized official is Edvin Agadzhanov .
The authorized official title is Ceo and has the following contact phone number (818) 267-7571.

The enumeration date for this NPI number is 7/28/2010 and was last updated on 7/28/2010.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
11223G0001XDentistGeneral Practice57233CALIFORNIAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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