| Alenoush Baghdasaryan,d.d.s., A Professional Dental Corporation | |
|
457 Palm Dr Ste 100 Glendale CA 91202-3221 | |
| (818) 956-3733 | |
| Not Available |
| Full Name | Alenoush Baghdasaryan,d.d.s., A Professional Dental Corporation |
|---|---|
| Speciality | Dentist |
| Location | 457 Palm Dr Ste 100, Glendale, California |
| Authorized Official Name and Position | Alenoush Baghdasaryan (PRESIDENT) |
| Authorized Official Contact | 8189563733 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Alenoush Baghdasaryan,d.d.s., A Professional Dental Corporation 457 Palm Dr Ste 100 Glendale CA 91202-3221 Ph: () - | Alenoush Baghdasaryan,d.d.s., A Professional Dental Corporation 457 Palm Dr Ste 100 Glendale CA 91202-3221 Ph: (818) 956-3733 |
| NPI Number | 1962600742 |
|---|---|
| Provider Enumeration Date | 07/03/2007 |
| Last Update Date | 12/30/2019 |
| Medicare PECOS PAC ID | 1850729286 |
|---|---|
| Medicare Enrollment ID | O20200319000289 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962600742 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 37783 (California) | Primary |
| Provider Name | Alenoush Baghdasaryan |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1245374933 PECOS PAC ID: 2769810191 Enrollment ID: I20200324000365 |
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