# ALEN BAKHTAMIAN PROFESSIONAL DENTAL CORPORATION FAIR OAKS SPECIALTY

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Paradise Dental Group
- **Organization subpart:** No

## Provider details

- **NPI number:** 1518292374
- **Authorized official:** AURORA GIL (ASSISTANT MANAGER)
- **Authorized official phone:** (818) 896-0043

## Contact information

- **Practice address:** 10059 LAUREL CANYON BLVD, STE \#A, PACOIMA, CA 91331-3847
- **Practice address phone:** (818) 896-0043
- **Practice address fax:** (818) 896-0054
- **Mailing address:** 10059 LAUREL CANYON BLVD, STE \#A, PACOIMA, CA 91331-3847
- **Mailing address phone:** (818) 896-0043
- **Mailing address fax:** (818) 896-0054

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | 39753 | CA | Yes |

## Other

- **Enumeration date:** 10/13/2009
- **Last updated:** 10/13/2009