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Organization
DR. MICHAEL BALIKYAN, INC
Active
Organization
DR. MICHAEL BALIKYAN, INC
Active
Other names
South Lake Dental, Dental Office of Dr. Michael Balikyan, South Lake Dental
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL BALIKYAN DDS (OWNER/DENTIST)
(626) 844-6684
Entity
Organization
Contact information
Practice address
903 E DEL MAR BLVD, PASADENA, CA 91106-3201
(626) 844-6674
(626) 844-6638
Mailing address
903 E DEL MAR BLVD, PASADENA, CA 91106-3201
(626) 844-6674
(626) 844-6638
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
04/03/2019
Last updated
05/21/2020
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