# DR. OHANNESSIAN DENTAL CORP

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

## Provider details

- **NPI number:** 1316391071
- **Authorized official:** MANUEL JEAN OHANNESSIAN (CEO/DDS)
- **Authorized official phone:** (951) 769-0466

## Contact information

- **Practice address:** 6350 W RAMSEY ST, STE. A, BANNING, CA 92220-3062
- **Practice address phone:** (951) 769-0466
- **Mailing address:** PO BOX 618, HIGHLAND, CA 92346-0618
- **Mailing address phone:** (951) 769-0466

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | — | — | Yes |

## Other

- **Enumeration date:** 04/19/2016
- **Last updated:** 04/21/2016