| Kazarian, Khachatryan, Azatyan, A Professional Dental Corporation | |
|
508 W Aten Rd Imperial CA 92251-9718 | |
| (760) 355-4444 | |
| Not Available |
| Full Name | Kazarian, Khachatryan, Azatyan, A Professional Dental Corporation |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 508 W Aten Rd, Imperial, California |
| Authorized Official Name and Position | Hamlet Khachatryan (OWNER) |
| Authorized Official Contact | 8183005849 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kazarian, Khachatryan, Azatyan, A Professional Dental Corporation 1698 Cruickshank Dr Ste B El Centro CA 92243-1462 Ph: (818) 300-5849 | Kazarian, Khachatryan, Azatyan, A Professional Dental Corporation 508 W Aten Rd Imperial CA 92251-9718 Ph: (760) 355-4444 |
| NPI Number | 1811627763 |
|---|---|
| Provider Enumeration Date | 06/14/2022 |
| Last Update Date | 06/14/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1811627763 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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