| Antranig Gary Kelleyan Dds Inc. | |
|
616 N Garfield Ave Ste 404 Monterey Park CA 91754-1101 | |
| (626) 280-4122 | |
| (626) 280-4124 |
| Full Name | Antranig Gary Kelleyan Dds Inc. |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 616 N Garfield Ave Ste 404, Monterey Park, California |
| Authorized Official Name and Position | Antranig Gary Kelleyan (CEO) |
| Authorized Official Contact | 6262804122 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Antranig Gary Kelleyan Dds Inc. 616 N Garfield Ave Ste 404 Monterey Park CA 91754-1101 Ph: (626) 280-4122 | Antranig Gary Kelleyan Dds Inc. 616 N Garfield Ave Ste 404 Monterey Park CA 91754-1101 Ph: (626) 280-4122 |
| NPI Number | 1801035381 |
|---|---|
| Provider Enumeration Date | 02/06/2009 |
| Last Update Date | 02/06/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1801035381 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 52409 (California) | Primary |
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