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Organization
SAGARIAN,A PROFESSIONAL DENTAL CORPORATION
Active
Organization
SAGARIAN,A PROFESSIONAL DENTAL CORPORATION
Active
Other names
rosetown family dentistry
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MIKE MAIS SAGARIAN DDS (PRESIDENT)
(661) 758-5338
Entity
Organization
Contact information
Practice address
1229 7TH ST, WASCO, CA 93280-1820
(661) 758-5338
(661) 758-8150
Mailing address
1229 7TH ST, WASCO, CA 93280-1820
(661) 758-5338
(661) 758-8150
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
05/24/2012
Last updated
05/25/2012
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