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Organization
SAGARIAN A PROFESIONAL DENTAL CORPORATION
Active
Organization
SAGARIAN A PROFESIONAL DENTAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MIKE MAIS SAGARIAN DDS (PRESIDENT)
(661) 496-1200
Entity
Organization
Contact information
Practice address
505 W COLUMBUS ST, BAKERSFIELD, CA 93301-1263
(661) 322-1300
(661) 322-1375
Mailing address
505 W COLUMBUS ST, BAKERSFIELD, CA 93301-1263
(661) 322-1300
(661) 322-1375
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
43655
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
G91682
—
CA
Enumeration date
04/07/2007
Last updated
08/22/2020
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