| Armen Mardirossian Professional Dental Corp | |
|
13197 Central Ave Ste 201 Chino CA 91710-4178 | |
| (714) 000-0000 | |
| Not Available |
| Full Name | Armen Mardirossian Professional Dental Corp |
|---|---|
| Speciality | Dentist |
| Location | 13197 Central Ave Ste 201, Chino, California |
| Authorized Official Name and Position | Armen Mardirossian (OWNER) |
| Authorized Official Contact | 7140000000 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Armen Mardirossian Professional Dental Corp 13197 Central Ave Ste 201 Chino CA 91710-4178 Ph: () - | Armen Mardirossian Professional Dental Corp 13197 Central Ave Ste 201 Chino CA 91710-4178 Ph: (714) 000-0000 |
| NPI Number | 1184173718 |
|---|---|
| Provider Enumeration Date | 09/23/2016 |
| Last Update Date | 03/23/2017 |
| Medicare PECOS PAC ID | 0345526927 |
|---|---|
| Medicare Enrollment ID | O20180516002021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184173718 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0300X | Dentist - Periodontics | 45919 (California) | Primary |
| Provider Name | Armen Mardirossian |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1205999091 PECOS PAC ID: 1254617830 Enrollment ID: I20180516002239 |
Dentistry Today Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 12385 Central Ave, Unit # A, Chino, CA 91710 Phone: 909-628-4141 Fax: 909-628-4121 | |
On Call Dental Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 12194 Central Ave, Chino, CA 91710 Phone: 909-591-0316 | |
Softcare Dental Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 3686 Riverside Dr, Ste G, Chino, CA 91710 Phone: 909-591-1299 Fax: 909-591-5899 | |
Doc Chung Dental Group - Chino, Inc. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 13197 Central Ave Ste 103, Chino, CA 91710 Phone: 909-627-8501 Fax: 909-627-1784 | |
Sarah J Sibbach Dmd, Inc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 13788 Roswell Ave, #100, Chino, CA 91710 Phone: 610-390-4058 | |
Grandview Endodontics Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 13768 Roswell Ave Ste 210, Chino, CA 91710 Phone: 909-591-1055 | |
Delicate Smiles Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 4531 Philadelphia St, Unit 107, Chino, CA 91710 Phone: 909-902-9100 Fax: 909-902-9112 |