| Garabedian And Kotikian Dental Corporation | |
|
242 N Glendale Ave Glendale CA 91206-4454 | |
| (818) 409-0925 | |
| Not Available |
| Full Name | Garabedian And Kotikian Dental Corporation |
|---|---|
| Speciality | Clinic/Center |
| Location | 242 N Glendale Ave, Glendale, California |
| Authorized Official Name and Position | Armond Kotikian (CEO) |
| Authorized Official Contact | 8184090925 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Garabedian And Kotikian Dental Corporation 242 N Glendale Ave Glendale CA 91206-4454 Ph: (818) 409-0925 | Garabedian And Kotikian Dental Corporation 242 N Glendale Ave Glendale CA 91206-4454 Ph: (818) 409-0925 |
| NPI Number | 1841577517 |
|---|---|
| Provider Enumeration Date | 11/09/2011 |
| Last Update Date | 07/03/2012 |
| Medicare PECOS PAC ID | 3577714195 |
|---|---|
| Medicare Enrollment ID | O20121108000015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1841577517 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 49568 (California) | Primary |
| 261QD0000X | Clinic/center - Dental | A95221 (California) | Secondary |
| Provider Name | Armond Kotikian |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1396868774 PECOS PAC ID: 9335298611 Enrollment ID: I20090515000128 |
| Provider Name | Hamlet Garabedian |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1316081623 PECOS PAC ID: 6103077722 Enrollment ID: I20121119000177 |
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