| Pal, Azatyan, Khachatryan, A Professional Dental Corporation | |
|
1502 S La Brucherie Rd Ste A El Centro CA 92243-9495 | |
| (760) 282-3556 | |
| Not Available |
| Full Name | Pal, Azatyan, Khachatryan, A Professional Dental Corporation |
|---|---|
| Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
| Location | 1502 S La Brucherie Rd Ste A, El Centro, 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 |
|---|---|
| Pal, Azatyan, Khachatryan, A Professional Dental Corporation 1698 Cruickshank Dr Ste B El Centro CA 92243-1462 Ph: () - | Pal, Azatyan, Khachatryan, A Professional Dental Corporation 1502 S La Brucherie Rd Ste A El Centro CA 92243-9495 Ph: (760) 282-3556 |
| NPI Number | 1023851979 |
|---|---|
| Provider Enumeration Date | 06/18/2024 |
| Last Update Date | 06/18/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023851979 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | (* (Not Available)) | Primary |
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