| South Lake Dental, Dental Office Of Dr. Michael Balikyan | |
|
903 E Del Mar Blvd Pasadena CA 91106-3201 | |
| (626) 844-6674 | |
| (626) 844-6638 |
| Full Name | South Lake Dental, Dental Office Of Dr. Michael Balikyan |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 903 E Del Mar Blvd, Pasadena, California |
| Authorized Official Name and Position | Michael Balikyan (OWNER/DENTIST) |
| Authorized Official Contact | 6268446684 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| South Lake Dental, Dental Office Of Dr. Michael Balikyan 903 E Del Mar Blvd Pasadena CA 91106-3201 Ph: (626) 844-6674 | South Lake Dental, Dental Office Of Dr. Michael Balikyan 903 E Del Mar Blvd Pasadena CA 91106-3201 Ph: (626) 844-6674 |
| NPI Number | 1326500844 |
|---|---|
| Provider Enumeration Date | 04/03/2019 |
| Last Update Date | 05/21/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1326500844 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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