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Organization
ALEN BAKHTAMIAN PROFESSIONAL DENTAL CORPORATION FAIR OAKS SPECIALTY
Active
Organization
ALEN BAKHTAMIAN PROFESSIONAL DENTAL CORPORATION FAIR OAKS SPECIALTY
Active
Other names
Paradise Dental Group
Organization subpart
No
Provider details
NPI number
Authorized official
AURORA GIL (ASSISTANT MANAGER)
(818) 896-0043
Entity
Organization
Contact information
Practice address
10059 LAUREL CANYON BLVD, STE #A, PACOIMA, CA 91331-3847
(818) 896-0043
(818) 896-0054
Mailing address
10059 LAUREL CANYON BLVD, STE #A, PACOIMA, CA 91331-3847
(818) 896-0043
(818) 896-0054
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
39753
CA
Other
Enumeration date
10/13/2009
Last updated
10/13/2009
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