# SCOTT R. ADISHIAN, D.D.S., INC.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1114018082
- **Authorized official:** DR. SCOTT R ADISHIAN DDS (PRESIDENT)
- **Authorized official phone:** (626) 796-3700

## Contact information

- **Practice address:** 200 S OAK KNOLL AVE, SUITE 101, PASADENA, CA 91101-2912
- **Practice address phone:** (626) 796-3700
- **Mailing address:** 200 S OAK KNOLL AVE, SUITE 101, PASADENA, CA 91101-2912
- **Mailing address phone:** (626) 796-3700

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223P0700X | Prosthodontics | 27944 | CA | Yes |

## Other

- **Enumeration date:** 09/27/2006
- **Last updated:** 01/21/2012