Ghorbanian Pllc | |
1648 Plaza Way Walla Walla WA 99362-4325 | |
(509) 522-2220 | |
(509) 522-0171 |
Full Name | Ghorbanian Pllc |
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Speciality | Dentist |
Location | 1648 Plaza Way, Walla Walla, Washington |
Authorized Official Name and Position | Igor Elperin (DENTIST) |
Authorized Official Contact | 5094575050 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Ghorbanian Pllc 1648 Plaza Way Walla Walla WA 99362-4325 Ph: (509) 522-2220 | Ghorbanian Pllc 1648 Plaza Way Walla Walla WA 99362-4325 Ph: (509) 522-2220 |
NPI Number | 1588958995 |
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Provider Enumeration Date | 06/02/2011 |
Last Update Date | 06/02/2011 |
Identifier | Type | State | Issuer |
---|---|---|---|
1588958995 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
122300000X | Dentist | DE60169589 (Washington) | Primary |
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