| Arkady Tsibel Dds Inc | |
|
1140 Fremont Ave South Pasadena CA 91030-5759 | |
| (626) 325-0331 | |
| Not Available |
| Full Name | Arkady Tsibel Dds Inc |
|---|---|
| Speciality | Clinic/Center |
| Location | 1140 Fremont Ave, South Pasadena, California |
| Authorized Official Name and Position | Arkady Tsibel (PRESIDENT) |
| Authorized Official Contact | 6263250331 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Arkady Tsibel Dds Inc 1140 Fremont Ave South Pasadena CA 91030-5759 Ph: () - | Arkady Tsibel Dds Inc 1140 Fremont Ave South Pasadena CA 91030-5759 Ph: (626) 325-0331 |
| NPI Number | 1922653096 |
|---|---|
| Provider Enumeration Date | 08/06/2019 |
| Last Update Date | 08/06/2019 |
| Medicare PECOS PAC ID | 8022445998 |
|---|---|
| Medicare Enrollment ID | O20200305002301 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1922653096 | NPI | - | NPPES |
| Provider Name | Marlice A Patam |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1730203712 PECOS PAC ID: 3577847938 Enrollment ID: I20170530001360 |
| Provider Name | Dennis R. Hunt |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1396872149 PECOS PAC ID: 3678813391 Enrollment ID: I20190315001869 |
| Provider Name | Asal Sedghi |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1306193222 PECOS PAC ID: 4486083722 Enrollment ID: I20200407002966 |
| Provider Name | Misak Sarkis Shnorhavorian |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1659680619 PECOS PAC ID: 9032452354 Enrollment ID: I20200408004554 |
| Provider Name | Arkady S Tsibel |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1073611133 PECOS PAC ID: 3173882479 Enrollment ID: I20200626001132 |
| Provider Name | Morris N Ghermezi |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1568917110 PECOS PAC ID: 9234411836 Enrollment ID: I20210512000797 |
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