| Saryan Dental Corp. | |
|
457 W Colorado St Suite 201 Glendale CA 91204-1576 | |
| (818) 543-0707 | |
| (818) 543-0700 |
| Full Name | Saryan Dental Corp. |
|---|---|
| Speciality | Dentist |
| Location | 457 W Colorado St, Glendale, California |
| Authorized Official Name and Position | Khachatur Saryan (PRESIDENT) |
| Authorized Official Contact | 8185430707 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Saryan Dental Corp. 457 W Colorado St Suite 201 Glendale CA 91204-1576 Ph: (818) 543-0707 | Saryan Dental Corp. 457 W Colorado St Suite 201 Glendale CA 91204-1576 Ph: (818) 543-0707 |
| NPI Number | 1255873592 |
|---|---|
| Provider Enumeration Date | 11/16/2016 |
| Last Update Date | 11/16/2016 |
| Medicare PECOS PAC ID | 4183017445 |
|---|---|
| Medicare Enrollment ID | O20220209000313 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255873592 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 100964 (California) | Primary |
| Provider Name | David Saryan |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1417467697 PECOS PAC ID: 6305238262 Enrollment ID: I20220126002375 |
| Provider Name | Khachatur Saryan |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1730630500 PECOS PAC ID: 9739572025 Enrollment ID: I20220209001691 |
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