| Tigran Shahmanyan Dds Inc. | |
|
12640 Whittier Blvd Whittier CA 90602-2926 | |
| (562) 698-1314 | |
| Not Available |
| Full Name | Tigran Shahmanyan Dds Inc. |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 12640 Whittier Blvd, Whittier, California |
| Authorized Official Name and Position | Tigran Shahmanyan (PRESIDENT) |
| Authorized Official Contact | 5626981314 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Tigran Shahmanyan Dds Inc. 12640 Whittier Blvd Whittier CA 90602-2926 Ph: (323) 728-0327 | Tigran Shahmanyan Dds Inc. 12640 Whittier Blvd Whittier CA 90602-2926 Ph: (562) 698-1314 |
| NPI Number | 1669689469 |
|---|---|
| Provider Enumeration Date | 05/17/2007 |
| Last Update Date | 09/13/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1669689469 | NPI | - | NPPES |
| G9393601 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 52112 (California) | Primary |
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