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Organization
FRESNO PEDIATRIC DENTISTRY
Active
Organization
FRESNO PEDIATRIC DENTISTRY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ISHKHAN BAYRAKDARIAN (PRESIDENT)
(559) 229-2244
Entity
Organization
Contact information
Practice address
5066 N FRESNO ST STE 109, FRESNO, CA 93710-7615
(559) 229-2244
Mailing address
5066 N FRESNO ST STE 109, FRESNO, CA 93710-7615
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Enumeration date
08/02/2010
Last updated
08/02/2010
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