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Organization
HAMLET KHACHATRYAN DDS, INC.
Active
Organization
HAMLET KHACHATRYAN DDS, INC.
Active
Other names
Imperial Dental Specialties
Organization subpart
No
Provider details
NPI number
Authorized official
DR. HAMLET KHACHATRYAN DDS (OWNER/PRESIDENT)
(818) 300-5849
Entity
Organization
Contact information
Practice address
1698 CRUICKSHANK DRIVE, SUITE B, EL CENTRO, CA 92243
(760) 970-8754
Mailing address
2022 ROSITA AVE, BURBANK, CA 91504-2821
(818) 300-5849
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
—
—
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
08/22/2019
Last updated
06/14/2022
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