| Bayrakdarian Hanford Dmd Inc A California Professional Dental Office C | |
|
1479 W Lacey Blvd Hanford CA 93230-5906 | |
| (559) 377-4000 | |
| Not Available |
| Full Name | Bayrakdarian Hanford Dmd Inc A California Professional Dental Office C |
|---|---|
| Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
| Location | 1479 W Lacey Blvd, Hanford, California |
| Authorized Official Name and Position | Ishkhan John Bayrakdarian (ORTHODONTIST/OWNER) |
| Authorized Official Contact | 5593410490 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Bayrakdarian Hanford Dmd Inc A California Professional Dental Office C 427 W Nees Ave Ste 101 Clovis CA 93611-4434 Ph: () - | Bayrakdarian Hanford Dmd Inc A California Professional Dental Office C 1479 W Lacey Blvd Hanford CA 93230-5906 Ph: (559) 377-4000 |
| NPI Number | 1912505009 |
|---|---|
| Provider Enumeration Date | 10/12/2020 |
| Last Update Date | 11/11/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1912505009 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | (* (Not Available)) | Primary |
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